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.
El Paso, TX. Chiropractor Dr. Alex Jimenez listens in on how chiropractors can help with sciatica.
Dr. Joseph Licitra DC, a chiropractor that serves Clifton, NJ as well as Montclair, Bloomfield, and Passaic, recently discussed sciatica on a local cable show. Dr. Licitra says that chiropractors can help treat sciatic nerve pain.
Clifton, United States
Dr. Joseph Licitra DC, the owner of a chiropractic practice that serves Clifton, New Jersey and surrounding areas such as Montclair, Bloomfield, and Passaic, recently discussed sciatica on a local cable show called �Meet Clifton.� Those interested in learning more about the challenges of sciatica and how it can be treated can view an exclusive video clip for free on Dr. Licitra�s website: www.josephlicitra.com/sciatica
In addition to speaking about the prevalence of sciatica in America, Dr. Licitra also touched upon the economic consequences of the debilitating condition. An interesting fact explored during his presentation brought to light the extent of which sciatica negatively affects employee attendance in the workplace. Dr. Licitra said: �People with sciatica have difficulty sitting and bending and therefore they can�t go to work. There is tremendous economic strain on the cities, on the companies, and on the families.�
The Causes Of Sciatica
Sciatic nerve pain can stem from many different things such as repetitive bending, direct trauma to the spine, as well as a sedentary lifestyle.
How chiropractors can help � There is hope for people who suffer from sciatica. Chiropractors can determine the origin of the sciatic condition and then focus on balancing out the spine to get the bones in correct alignment. Chiropractors like Dr. Licitra who specialize in kinesiology will also focus on the musculature to pinpoint the cause(s) of sciatic pain.
Dr. Licitra has been in practice for over 30 years and has worked on many professional athletes such as the New York Giants and the National Hockey League. His practice is now offering free consultations to new patients interested in receiving treatment for sciatica, as well as to patients suffering from other health conditions like neck or back pain, shoulder pain, and even migraines.
Struggling With Sciatica?
If you are experiencing pain that radiates from the back or buttocks all the way down the legs, you may have a common condition called sciatica. Many people in Clinton suffer with the pain of sciatica and may never achieve a long-term solution. An untreated sciatic condition can continue to worsen and make the daily tasks of living go from difficult to nearly impossible. Fortunately, chiropractic treatment can help you overcome this debilitating condition.
Sciatica In Clifton
Sciatica, also known as sciatic neuralgia, is a condition that causes pain in the lower back, down the back of the leg, and into the foot. It can make sitting and standing for long periods of time difficult and can lead to weakness, tingling, and numbness in the leg and foot. It will often come and go throughout a person’s lifetime, causing periods of varying degrees of pain and discomfort. If left untreated, sciatic pain will generally grow worse and the nerve can become permanently damaged.
The reason why the pain travels so far, radiating up and down the legs and back, is due to the compression of the sciatic nerve which is the longest nerve in the body. This nerve originates in the lumbar spine and extends into the buttocks before traveling down the leg to the ankle and foot. When the vertebrae in the lower back are compressed, the roots of the sciatic nerve can become pinched and irritated which is what causes the pain.
How Do You Develop Sciatica?
There are a number of factors that can lead to sciatica. It is most commonly caused by disc injuries and bulges. In this occurrence, the disc presses against the nerve root causing sciatic pain. Disc Injuries can occur because of poor posture, repetitive use injuries, and accidents. Sciatica is also common when there are subluxations (misalignments) in the spine due to postural issues, pregnancy, or trauma. Some patients report simply bending over to pick up a piece of paper and then being suddenly hit with extreme pain. The reality, however, is that the spinal condition was probably already developing for quite some time before the triggering incident occurred.
Some people respond very quickly while others take more time to recover. It really depends on the condition of the disc or the joints that the chiropractor has to correct. In most cases, the longer the issue persists, the longer it will take to achieve correction. The great news is that it typically takes less time to fix an issue like this than it took to create it in the first place. Once the position of the spine and discs are corrected, patients often report improvements in their overall health. If you are experiencing symptoms of sciatica, please call our team at Joseph Licitra, DC today.
Sciatica, medically defined as a set of symptoms rather than a single disorder, is commonly characterized by pain in the lower back and buttocks. This pain can radiate down one or both legs to the thigh, calf, ankle and foot. True sciatica occurs when pain begins to travel below the knee.
Sciatic pain frequently results when the nerve roots surrounding the spinal column are compressed or when pressure has caused the impingement of the spinal roots of the sciatic nerve. The sciatic nerve systems are found in in the sacral regions of the back and the lumbar spine. Sciatic pain or sciatica could be identified as sharp, dull, burning, tingly, numb, constant, or intermittent and usually affects only one side of the body. It may radiate throughout the whole length of the nerve, in certain cases, all the way to the toes.
Sciatic pain is usually the result of a herniated disc, spinal stenosis, or in exceptionally rare instances, infection or tumour. The cause of your pain determines your treatment options to relieve sciatica.
Sciatica Treatment Options
Several of the most popular sciatica treatment options include: alternative treatments, such as acupuncture, chiropractic care, drugs, physical therapy, and surgical interventions.
Once a qualified and experienced healthcare professional has diagnosed you with symptoms of sciatica, many individuals with prevalent lower back pain are prescribed bed rest as a way to offer relief for aching bones and joints. Current research, however, has implied that bed rest alone cannot offer relief for those suffering from nerve pain due to sciatica.
Remaining active might be more beneficial for people who suffer with back pain. Not to say that you should be running marathons! Action means being mobile and active for periods of time which aren’t enough to cause additional pain and/or to aggravate other symptoms of sciatica. Specific exercises may be recommended by your healthcare professional or some may simply suggest walking.
Sciatica Pain Relief
Pain is best treated with non-steroidal anti-inflammatory drugs (NSAID) such as ibuprofen or codeine (in acute cases).
In some instances, a cortisone-like drug may be injected to the epidural space enclosing the spinal column. This process is similar to the epidural used during childbirth, and it’s called an epidural steroid injection. A class of this sort of treatment may offer temporary relief, but it does not address the source of the issue.
Surgery for Sciatica Symptoms
Some patients with sciatica may discover significant relief from surgery. In the case of herniated discs, a surgical procedure called a laminectomy may be performed. In this process, a percentage of the posterior arch is removed to relieve pressure on pinched nerve tissues.
In cases of spinal stenosis, the part of bone that is putting pressure on the sciatic nerve system may be removed.
Operation is not for everyone. Nonetheless, for people who have shown no sign of improvement in 4 to 6 weeks and who have had CT scans (computed tomography) or MRI that show a herniated disc or spinal stenosis, surgery may offer considerable relief.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Chiropractic and Sciatica
Sciatica is a common group of symptoms reported by a majority of the population alongside symptoms of back and low back pain. Sciatica, or sciatic nerve pain, is frequently the result of compression or impingement of the sciatic nerve and its nerve roots, generally from a spinal misalignment or subluxation. Chiropractic care is a safe and effective form of alternative treatment utilized to restore the natural alignment of the spine, ultimately reducing the pressure being placed against the sciatic nerve and relieving symptoms of sciatica.
El Paso, TX. Chiropractor Dr. Alex Jimenez takes a look at sciatica.
The pain shoots down your leg�burning, tingling, almost electric. Anyone who�s felt it knows that this is the hallmark symptom of sciatica. But did you know that there�s more to sciatica than just leg pain? And what about the best treatment�should you get plenty of rest or join boot camp? Get the answers with this slideshow. It�s your quick reference for all things sciatica�from what causes it to how to get rid of it.
Get the Answers to All Your Sciatica Questions
So What Exactly Is Sciatica?
Sciatica Isn�t A Condition, Disorder or Disease. Though the pain may certainly warrant such a title. Sciatica is actually a group of symptoms. It involves the sciatic nerve, which is the longest and largest nerve in your body. The sciatic nerve is made from several nerve roots in your spine that merge and travel through your buttocks. It then extends down to your knee, where smaller nerves branch out from it and travel to your feet. Sciatica occurs when the sciatic nerve is compressed or aggravated in some way. So what causes that? Read on to learn more.
I Have Sciatica�But How Did It Happen?
Have You Done A Lot Of Heavy Lifting Lately? Perhaps with poor posture? Heavy lifting can cause a disc in your low back to bulge or herniate, and that can pinch your sciatic nerve. Lumbar herniated discs are the most common cause of sciatica. Herniated discs aren�t caused only by heavy lifting�the effects of aging on your spine can also cause herniated discs.�Though a herniated disc is the most common sciatica cause, it isn�t the only one. Spinal stenosis, injury or trauma, and even pregnancy are other common culprits.
What Does Sciatica Feel Like?
You likely understand the pain of sciatica it can shoot from your low back down your legs, sometimes into your feet. Burning, numbness, and tingling are also common sciatica symptoms. You may find that sitting or walking can become painful chores�and even a cough or sneeze can cause your pain to flare up.
Where Does It Hurt?
Sciatica affects people in different ways depending on the root cause. Some have pain in their feet, while others have intense pain above the knee. That�s why you should not only pay special attention to what your symptoms are but also where they are. This will help your doctor understand what�s causing your sciatica and, in turn, recommend the best treatment.
Medications
In some cases, the only thing you need to reduce your sciatica pain is time and over-the-counter medication. To help reduce inflammation and pain, you�ll want to choose non-steroidal anti-inflammatory drugs (NSAIDs). Advil and Aleve are brand name examples of NSAIDs. You can also try alternating heat and cold packs.
Treating Sciatica Pain
How Do I Treat Sciatica at Home?�Stay Active
Bed rest might be best for a cold, but it won�t treat your sciatica any faster. In fact, it might slow down the healing process. Most studies support staying active with mild exercise. This doesn�t mean you should spend hours in a gym�that would only aggravate your sciatica. Think gentle stretches and soothing movements. Need a place to start? Watch our sciatica exercise video series.
What if At-home Treatments Don�t Work?
You should talk to your doctor. He or she may recommend prescription medications or epidural steroid injections to reduce pain and inflammation. Or you may want to consult with a chiropractor or physical therapist. These professionals use specific therapies and techniques to reduce your sciatica pain.
Should I Be Thinking about Surgery?
But if your pain just won�t go away�even after using a number of non-surgical treatments�then spine surgery might be the best option for you. Having surgery for sciatica is a big deal, so make sure you gather as much information as possible on your procedure and don�t be afraid to ask your doctor questions.
Sciatica is commonly characterized as mild to severe pain which radiates along a single or both legs, caused by the impingement or compression of the nerve roots in the lower back. Various types of injuries or conditions affecting the lumbar spine can result in symptoms of sciatica.
Sciatica is often referred to as radiculopathy, a medical term utilized to describe symptoms of pain, tingling sensations, numbness and weakness in the arms or legs as a result of nerve complications. If the nerve issues occur along the neck, it’s called a cervical radiculopathy. Because sciatica affects the lower back, however, it is called a lumbar radiculopathy.
Beginning at the back of the pelvis, or sacrum, the sciatic nerve is paired with five sets of nerve roots which then runs from the lower back, under the buttocks and down through the area of the hips and into each leg. Nerve roots are a great part of the body’s entire nervous system, functioning by transmitting pain and sensation to the different parts of the body. Radiculopathy can frequently develop when pressure is applied to the nerve roots as a result of an injury or condition, such as a herniated disc or a bone spur in the lumbar spine.
Causes of Sciatic Nerve Pain
An array of spinal injuries or conditions can cause sciatic nerve pain or sciatica. The 6 most common include:
a bulging or herniated disc
lumbar spinal stenosis
spondylolisthesis
trauma or injury
piriformis syndrome
spinal tumors
Lumbar Bulging Disc or Herniated Disc
A bulging disc along the lumbar region of the spine is identified as a contained disc disorder. This occurs when the gel-like center of an intervertebral disc, known as the nucleus pulposus, remains contained within the tire-like outer wall of the disc, known as the annulus fibrosus.
A herniated disc occurs when the nucleus pulposus ruptures through the annulus fibrosus and it is identified as a non-contained disc disorder. Regardless if an intervertebral disc bulges or herniates, the structures of the disc can add pressure against the adjacent nerve roots, compressing nerve tissue which can lead to symptoms of sciatica.
However, the complications associated with a herniated or ruptured disc can be worse. While a herniated disc can cause the impingement or compression of the sciatic nerve and its nerve roots, the substance released by the disc itself is made up of hyaluronic acid, a chemical irritant which can also cause inflammation along the structures surrounding the disorder. Nerve compression or impingement, followed by pain and inflammation can often lead to tingling sensations, numbness and muscle weakness along the extremities.
Lumbar Spinal Stenosis
Spinal stenosis is a nerve compression disorder which most commonly affects older adults. When spinal stenosis develops along the region of the lumbar spine, it could cause symptoms similar to sciatica. Generally, the pain associated with the disorder will manifest due to physical activities, such as standing or walking, and it can be relieved by sitting down or resting.
Nerve roots found along the spine branch out from the spinal cord through passageways consisting of bone and ligaments known as the neural foramina. Located on the left and right sides and between each set of vertebrae, is the foramen. The nerve roots pass through these openings and extend outward beyond the spine and through to other parts of the body. However, when these passageways become narrow or clogged, leading to the impingement or compression of the nerves, it’s referred to as foraminal stenosis.
Spondylolisthesis
Spondylolisthesis is a disorder characterized when a single vertebra in the spine slips forward over an adjacent vertebra. When a vertebra is displaced, it could ultimately lead to the compression of the spinal nerve roots, causing symptoms of sciatica. Spondylolisthesis is considered a developmental disorder, meaning it is found at birth and may develop during childhood, although it can also occur due to the degeneration of the structures of the spine, due to trauma from and injury or as a result of physical stress from lifting weights.
Trauma or Injury
Sciatica can also be caused as a result of direct compression or impingement of the nerves due to direct trauma or injury to the tissues and other structures surrounding the lumbar or sacral region of the spine. These circumstances include: automobile accident injuries, slip and falls, and/or sports injuries from contact sports such as football. The force of a direct impact can damage or injure the nerves and, occasionally, fragments of broken bones may also add pressure to the complex network of nerve roots along the spine.
Piriformis Syndrome
Piriformis syndrome is identified by the painful symptoms which manifest when the piriformis muscle irritates the sciatic nerve. The piriformis muscle is located along the lower region of the spine, where it connects to the thighbone and provides the function of rotation to the hip. The sciatic nerve runs beneath the piriformis muscle. Piriformis syndrome occurs when the piriformis muscle spasms, adding pressure against the sciatic nerve. This syndrome can often be difficult to both diagnose and treat due to the lack of X-ray or MRI findings.
Spinal Tumors
Although rare, spinal tumors are abnormal growths which can be either benign or malignant, cancerous. When a spinal tumor develops along the lumbar region of the spine, there’s a risk that it could potentially cause the impingement or compression of the nerve roots, leading to symptoms of sciatica. If you believe you may have sciatica, contact your healthcare specialist. The first step toward relieving pain is a proper diagnosis.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Chiropractic and Sciatica
Sciatica is identified as a group of symptoms rather than a single injury or condition. Low back pain is common among a variety of individuals, but when symptoms of numbness and tingling sensations are accompanied with pain and discomfort, there may be unnecessary pressure being placed against the sciatic nerve. Sciatic nerve pain or sciatica can occur due to a variety of factors and chiropractic treatment can help relieve the symptoms. Chiropractic care is a safe and effective treatment option available for restoring the health of the spine and reducing sciatica symptoms.
Several lumbar spine (lower back) disorders may cause sciatica. Sciatica is usually referred to as light to severe pain in the left or right leg. Occasionally doctors call a radiculopathy that is sciatica. Radiculopathy is a medical term used to spell out pain, numbness, tingling, and weakness in legs or the arms caused by a nerve root issue. It’s known as a cervical radiculopathy, in the event the nerve difficulty is in the neck. But since sciatica influences the low back, it is called a lumbar.
Pathways To Sciatic Nerve Pain
Five sets of matched nerve roots in the lumbar spine combine to generate the sciatic nerve. Beginning at the rear of the pelvis (sacrum), the sciatic nerve runs in the trunk, under the buttock, and down through the hip region into each leg. Nerve roots aren’t “solitary” structures but are part of the entire body’s entire nervous system capable of transmitting pain and sensation to different parts of the body. Radiculopathy happens when compression of a nerve root from a disc rupture (herniated disc) or bone spur (osteophyte) happens in the lumbar spine prior to it joining the sciatic nerve.
What Causes Sciatic Nerve Compression?
Several spinal ailments can cause spinal nerve compression and sciatica or lumbar radiculopathy.
spondylolisthesis
Injury
piriformis syndrome
spinal tumors
Common Sciatica Cause #1: Lumbar Bulging Disc or Herniated Disc
A bulging disk is also called a contained disc illness. What this means is the gel-like center (nucleus pulposus) remains “included” within the tire-like outer wall (annulus fibrosus) of the disk.
A herniated disc happens when the nucleus breaks through the annulus fibrosus. It is called a “non-controlled” disk disorder. Whether a disc bulges or herniates, disk stuff compress delicate nerve tissue and cause sciatica and can press against an adjacent nerve root.
The effects of a herniated disc are worse. In both instances, nerve compression and irritation cause inflammation and pain, muscle weakness, tingling, and often ultimately causing extremity numbness.
Common Sciatica Cause #2: Lumbar Spinal Stenosis
Spinal stenosis is a nerve compression illness most frequently affecting older adults. Leg pain similar to sciatica may happen as an effect of lumbar spinal stenosis. The pain is generally positional, frequently brought on by actions like standing or walking and relieved by sitting down.
Spinal nerve roots branch outward through passageways in the spinal cord called neural foramina comprised of bone and ligaments. Between each group of vertebral bodies, located on the left and right sides, is a foramen. Nerve roots pass through these openings and extend outward to innervate other portions of the body. The term foraminal stenosis can be used when these passageways become clogged causing nerve compression or narrow.
Common Sciatica Cause #3: Spondylolisthesis
Spondylolisthesis is a disorder that almost all commonly influences the lumbar spine. It’s distinguished by one vertebra slipping forwards over an adjacent vertebra. When a vertebra slips and is displaced, spinal nerve root compression happens and frequently causes sciatic leg pain. Spondylolisthesis is categorized as developmental (located at birth, grows during childhood) or got from spinal degeneration, trauma or physical stress (eg, lifting weights).
Common Sciatica Cause #4: Trauma
Examples include motor vehicle accidents, falling down, football and other sports. The impact may injure the nerves or, sometimes, the nerves may compress.
Piriformis syndrome is named after the piriformis muscle and the pain caused when the sciatic nerve is irritated by the muscle. The piriformis muscle and the thighbone is found in the lower part of the spine, connect, and aids in hip rotation. The sciatic nerve runs beneath the piriformis muscle. Piriformis syndrome grows when muscle spasms develop in the piriformis muscle thereby compressing the sciatic nerve. It may be challenging to diagnose and treat because of the shortage of x ray or magnetic resonance imaging (MRI) findings.
Common Sciatica Cause #5: Piriformis Syndrome
Piriformis syndrome is named after the piriformis muscle when the muscle irritates the sciatic nerve and the pain caused. The piriformis muscle and the thighbone is located in the low part of the backbone, connect, and aids in hip rotation. When muscle spasms develop in the piriformis muscle thus compressing the sciatic nerve, piriformis syndrome develops. It can be hard to diagnose and treat due to the lack of x-ray or magnetic resonance imaging (MRI) findings.
Common Sciatica Cause #6: Spinal Tumours
Spinal tumors are abnormal growths which are either benign or cancerous (malignant). Fortunately, spinal tumors are uncommon. But when a spinal tumor develops in the lumbar region, there’s a risk for sciatica to grow as a result of nerve compression.
Call your doctor should you imagine you have sciatica. The very first step toward relieving pain is a proper diagnosis.
Sciatica is a pain that radiates down the back, though the buttocks, and into the leg. The most common question people ask is: how long is this going to last? We want to know how long each attack will last and how long between flare-ups, but the answer may be more complicated than just simply giving a definite length of time. There are unfortunate individuals who have pain that doesn�t go away, often leaving them with suffering from chronic and persistent pain.
What most doctors and medical professionals can agree on is that there is no universally applicable answer to this question. This article will address questions such as, does sciatica go away on its own? What does sciatica feel like? And can sciatica go away? We will also discuss the causes of sciatica pain, severe complications of sciatica, and sciatica relief.
What Does Sciatica Feel Like?
Sciatica is a pain in the lower back or hip that radiates down into the buttocks and into the back of the leg along the sciatic nerve, with the pain often terminating in the foot. It is often the result of a pinched or inflamed sciatic nerve, which can occur after an injury, muscular strain, or herniated vertebral disc. Sciatic pain typically goes away on its own within a few weeks.
This type of pain can be difficult to describe, as it can take a number of different forms. It may feel like more of a cramping or numbing pain sensation that worsens when you sit, sneeze, or cough. It may be described as numbness combined with an electrical or burning sensation running down the leg, or even just as �pins and needles� along the leg. Pain associated with sciatica can be accompanied with muscle weakness, and it sometimes results in loss of bowel and bladder control, which would require emergency care treatment.
Current statistics show that 80 to 90 percent of all patients recover within six weeks without surgery.
How Long Does Sciatica Last?
Acute Sciatica Attacks
Acute attacks are by far the most common complaint in those with sciatic pain, with symptoms coming and going. The frequency of flare-ups can vary from patient to patient, with some having more episodes and others only having them on occasion. The following are some of the facts associated with acute episodes of sciatica:
Attack episodes do not typically last long in patients with a limited history of attacks�less than five years. These patients have occasional bouts of sciatic pain they might endure for about a week or two that gets better on its own. However, some may find these flare-up periods severely debilitating, as they are not accustomed to the pain, frequently leading to feelings of anxiousness and stress.
There is no clear evidence of any triggers that lead to flare-ups of sciatica pain, but certain physical and emotional instigators may be potential causes.
Statistically, acute pattern flare-ups may occur between two to six times a year, but there are patients who experience more or even less.
Chronic Sciatica Attacks
As the name suggests, chronic symptoms exist over longer periods of time or virtually all the time. This category of sciatic pain is often described as a pain that never really goes away. The severity of the symptoms, however, is often not as intense as it was when they first developed sciatica. Over time, their tolerance for pain has increased, allowing them to endure it for lengthy periods of time. The following are some facts associated with chronic episodes of sciatica:
Chronic pain sufferers often report their symptoms to be less severe over time, along with decreased levels of anxiety and fear that once was associated with the condition
It is rare for a person to just suddenly develop chronic sciatica from nowhere and have the pain remain for an extended period of time
Chronic sciatic is, unfortunately, a lifelong condition, as it is one of the most difficult pain disorders to resolve
While there are cases of individuals who make full recovery from sciatic pain, the harsh truth of the matter is that the majority of patients will have some degree of pain for the rest of their lives. Sciatica does not respond well to most forms of treatment, with no accurate explanation for its cause.
Complications Of Sciatica
While most people fully recover from sciatic pain, it can still potentially cause some serious complications, such as:
When To See A Doctor?
Experiencing sciatic type symptoms should prompt you to go see your doctor right away, as it can drastically reduce the length of time you suffer from the condition. Your doctor may also help you determine if you are at risk for any further complication and provide treatment that is best for you. While mild sciatic pain can go away in time, it�s a good rule of thumb to call your doctor if you are finding your pain to be particularly unbearable.
Sciatica is medically defined as a series of symptoms, particularly pain, which often extend along the sciatic nerve. The symptoms generally begin in the lower back, radiating down the buttocks and legs, through the back of the thighs and into the calf and foot.
The characteristic symptom of pain associated with sciatica can manifest abruptly or may develop gradually over time. Individuals diagnosed with sciatica describe the pain as a sharp, shooting or electric shock-like in nature. Movement of the lower extremities can aggravate the pain and it may be evenly distributed along the leg, although there can be specific spots where the pain may be more intense. Other symptoms reported by sciatica sufferers include tingling sensations and numbness in the distribution of the sciatic nerve.
Sciatica is commonly caused after an injury or condition results in the irritation and inflammation of the structures surrounding the lumbar region of the spine, which may in turn lead to the compression or impingement of the sciatic nerve and/or the surrounding nerve roots. The added pressure can be due to a variety of common injuries and conditions, including: ruptured intervertebral discs, spinal stenosis or the narrowing of the spinal canal.
Anatomy of the Sciatic Nerve
The sciatic nerve is the longest and widest nerve in the body, measuring approximately three-quarters of an inch in diameter. It originates in the sacral plexus; a network of nerves found in the lower back, along the lumbosacral region of the spine. The lumbosacral spine refers to the area where the lumbar spine and the sacrum come together. The sciatic nerve and it’s nerve root branches’ primary function is to allow movement and provide feeling in the thigh, knee, calf, ankle, foot and toes.
The sciatic nerve itself can be found running through the low back or the lumbar region of the spine. The nerve roots in this area are found along the L4 and L5 vertebrae. The sciatic nerve also travels through the pelvic region or sacrum.
In most individuals, the sciatic nerve runs under the piriformis muscle, the important muscle which is in charge of moving the thighs from side to side. The sciatic nerve then descends from the piriformis muscle, through the buttocks and the back of the thighs. By the area behind the knee, the sciatic nerve branches out into smaller nerve roots which continue traveling down and into the feet.
The sciatic nerve is part of the body’s nervous system, a complex network of nerves responsible for transmitting signals of sensation along with sensations of pain to other areas of the body. With sciatica, an injury or condition, such as a herniated disc, which causes irritation and inflammation along the tissues and other structures surrounding the sciatic nerve, can compress and apply unnecessary pressure to the nerve roots, radiating pain down the legs.
The sciatic nerve exits the sacrum in the pelvic area through a nerve passageway known as the sciatic foramen. At the upper part of the sciatic nerve, two branches form: the articular branches; and the muscular branches. The articular branch goes to the hip joint while the muscular branch serves the leg flexor muscles to enable movement. Other complex nerve structures are also involved: the peroneal nerves; and the tibial nerves. The peroneal nerves originate from the nerve roots along the L4 and L5 vertebrae of the spine and in the S1 and S2 vertebrae of the sacrum. After the peroneal nerves exit the pelvis, they travel down the front and side of the leg into the outer side of the knee and foot. The tibial nerves originate from the nerve roots at the L4 and L5 as well as the S1 through S3 vertebrae of the spine. The tibial nerves travel in front of the knee and down into the foot. When the sciatic nerve becomes compressed or impinged, it can cause painful symptoms along these pathways, characteristic of sciatica.
Should Sciatica be Treated with Surgery?
Most patients diagnosed with symptoms of sciatica can experience relief from non-surgical treatments, such as chiropractic care, and surgical interventions are generally not required to treat it. However, when the compression or impingement of the sciatic nerve manifests more serious symptoms, it may be necessary to receive further advice from a healthcare professional on the best form of treatment you should follow.
Severe symptoms such as: bowel or bladder dysfunction; advanced stages of spinal stenosis; neurological dysfunction including severe leg weakness; and intense symptoms where non-surgical treatments are no long effective; could indicate the need for surgery to treat sciatica.
The two common spinal surgeries for sciatica are:
Discectomy and microdiscectomy. With both of these procedures, the surgeon removes all or part of a herniated disc which may have been applying pressure against the sciatic nerve, causing your symptoms. The difference between the procedures is that a microdiscectomy is a minimally invasive surgery. The surgeon uses microscopic magnification to work through a very small incision using very small instruments. Because the surgery is minimally invasive, many patients recover quicker from this type of surgical procedure.
Laminectomy or laminotomy: These procedures both involve a part of the spine called the lamina, or the bony plate which functions to protect the spinal canal and spinal cord. A laminectomy involves the removal of the entire lamina; a laminotomy involves the removal of only a part of the lamina. These procedures can create more space for the nerves, reducing the risk of the nerves being compressed or impinged.
Over-the-counter medication, such as non-steroidal anti-inflammatory drugs or NSAIDs, can help reduce the irritation and inflammation of the body which may relieve the symptoms of pain. These however are only considered temporary treatments and the source of the individual’s sciatica should be addressed to promote overall health and wellness. Be sure to consult your healthcare provider on the best treatment option for your sciatica.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: What is Chiropractic?
Chiropractic care is an well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems. Through the use of spinal adjustments and manual manipulations, a chiropractor, or doctor of chiropractic, can carefully re-align the spine, improving a patient�s strength, mobility and flexibility.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
