Back Clinic Sciatica Nerve Pain Chiropractic, Physical Therapy Treatment Team. The common cause is a bulging or ruptured disc (herniated disc) in the spine pressing against the nerve roots that lead to the sciatic nerve. Sciatica nerve pain can also be a symptom of other conditions affecting the spine, such as narrowing of the spinal canal (spinal stenosis), bone spurs (small, bony growths that form along joints) caused by arthritis, or nerve root compression (pinched nerve) caused by injury. In rare cases, sciatica can also be caused by conditions that do not involve the spine, i.e. tumors or pregnancy.
What are the symptoms?
Pain that begins in your back or buttock and moves down your leg and may move into the foot. Weakness, tingling, or numbness in the leg may also occur.
Sitting, standing for a long time, and movements that cause the spine to flex (such as knee-to-chest exercises) may make symptoms worse.
Walking, lying down, and movements that extend the spine (such as press-ups) may relieve symptoms.For answers to any questions you may have please call Dr. Jimenez at 915-850-0900
If you have lower back or buttocks pain which runs into your thigh or past the knee to one leg and foot, a healthcare professional may diagnose your symptoms as sciatica. Sciatica is a medical term used to describe painful sensations caused by the compression or impingement of the sciatic nerve. This compression is normally caused by a disc herniation or a bone spur pressing on one of the nerves in the lower back.
Sensations, or unusual feelings, could include numbness, tingling, pins and needles, and sometimes pain referred to as electric-shock-like. Determined by the individual nerve that is affected, pain may radiate only into the buttocks or all the way down to the foot.
Sciatica pain generally radiates along the length of the sciatic nerve, the longest and largest nerve in the human body, usually from the lower back, down the buttocks, and into the thigh and leg as well as the foot. One hallmark of classic sciatica is when the painful symptoms are felt beneath the knee and sometimes down into the foot and great toe. Usually, sciatica only affects one side of the body, however, it may occasionally affect both sides of the body.
Radicular Pain or Radiculopathy
Radicular pain, or radiculopathy, are different terms used to describe similar symptoms. Your healthcare professional may commonly utilize these terms interchangeably while discussing your sciatica. Radiculopathy is pain and/or an adverse sensation that travels past the affected site, along the length of a nerve. When a spinal nerve root is compressed, pinched or injured, it may become inflamed. Common conditions which could cause this kind of problem are spinal stenosis, foraminal stenosis or herniated discs.
What to Expect from a Sciatica Diagnosis
In order to determine the proper diagnosis of your sciatica symptoms, a healthcare professional may ask a series of questions, for instance:
When did the pain begin?
Where do you feel the pain?
What activities worsen or reduce pain and symptoms?
Does the pain go all the way down your leg or does it stop at the knee?
Is there weakness or tingling in your thighs or feet?
How severe is your pain, on a scale of 1 to 10? (10 being the worse pain possible)
The healthcare professional may conduct a straight-leg test to find out whether you’ve got irritation or inflammation on a nerve. In order to perform this evaluations, you lie on your back while the doctor lifts each leg. When lifting a leg causes, or generates sciatic-like pain and sensations, you might have a bulging or ruptured disc, best known as a disc herniation.
Furthermore, the healthcare professional may ask you to walk as you normally do, then on your heels and next on your toes. This enables the physician to confirm your balance and aspects of lower-body strength. Compression or impingement of the sciatic nerve may cause muscle fatigue in the foot that will be revealed by these tests and evaluations. During your examination, your healthcare professional will:
Look at your position and range of movement
Note any movement that causes pain
Examine the curvature and alignment of your spine
Feel for muscle strain
Assess your sensation
Test your reflexes and muscle strength
Your doctor may order a plain x-ray, CT scan or MRI to help see the source of your sciatica more clearly. The CT scan or MRI provides the doctor with several snapshots of your spine, and will help confirm a suspected diagnosis. The findings of an imaging test are compared to the information that the doctor gathers during the taking of your medical history, and physical and neurological examination outcomes. An accurate identification is one of the very first steps in determining the best treatment options.
If it’s not Sciatica, What Else Could it Be?
Only a healthcare professional can tell for sure if your symptoms are sciatica or not. There are many complex structures in the spine which can result in similar kinds of pain. For instance, the joint between the pelvic and sacrum, or the sacroiliac joint, or SI joint, which is the smallest portion of the spine, may lead to pain from the buttock in the case of injury or due to an aggravated condition. You may also feel sciatica-like pain and discomfort if you sprain a very low back facet joint, which are the connecting joints at the back region of the spine. A tear in a disk can lead to pain down to the leg. The hip joint can occasionally trigger pain at the thigh as well. It’s essential to seek proper medical attention to assess the source of your symptoms.
Sciatica Treatment
Treatments for sciatica pain are diverse and there are lots of options to choose from. While sciatic nerve pain and radicular pain symptoms may resolve with the use of many traditional and alternative treatment options, severe cases may require surgery. Normally, some middle ground of these two extremes is the answer for curing sciatica.
Sciatica usually may be treated nonsurgically with short (24 to 48 hours) bed rest and pain relievers like aspirin or acetaminophen. In some cases, the physician may prescribe drugs and/or medications that relieves nerve pain, such as gabapentin. Oral steroids are another commonly used treatment to calm pain down. Typically, patients with sciatica feel better over time, generally in a few weeks. If pain persists, however, injections might be discussed. Muscle cramps, which might accompany sciatica symptoms, might be treated with heat or cold. Your physician will tell you to take brief walks, and might prescribe physical therapy. Once you recover, your doctor may also give you exercises to strengthen your back.
Can Chiropractic Care Treat Sciatica?
Chiropractic care is one of the top treatment options used for sciatica pain. Utilizing a variety of methods and techniques, chiropractic care doesn’t simply reduce the symptoms, it can ultimately fix the health issues associated with sciatica and prevent further circumstances of the collection of symptoms.
A good chiropractic care regimen might include spinal adjustments and manual manipulations, passive therapies, spinal decompression, massage therapy, and physical therapy to help reduce pain and correct the underlying problem causing it. A great chiropractic solution is going to be a plan which entails many or all of the above mentioned remedies as determined by your personal needs and recovery timeline. Furthermore, a chiropractor may recommend a series of appropriate stretches and exercises to help speed up the recovery process and promote a long-lasting recovery so you can live a pain-free life.
Dr. Alex Jimenez’s Insight
Sciatica is a medical term used to describe a collection of symptoms, including, pain, numbness or tingling sensations, caused by the compression or irritation of the sciatic nerve in the lower back. Although symptoms of sciatic nerve pain, or sciatica, are commonly concentrated in the lower back, radiating pain or radiculopathy may sometimes occur along the length of the sciatic nerve. A bulging or herniated disc is one of the most prevalent health issues which lead to sciatica. It’s essential to receive a proper diagnosis of any painful symptoms in order to follow-up with the best treatment options. Chiropractic care can help treat sciatica through the use of spinal adjustment and manual manipulations, among other treatment modalities, by carefully restoring the original alignment of the spine and reducing nerve compression and irritation associated with sciatic nerve pain.
If you believe that you are suffering from sciatic nerve pain, then consider the chiropractic care alternative solution. Many chiropractors can help by building a customized restoration plan around your requirements and goals. With years of experience, friendly employees, and innovative equipment, the proper chiropractor will get you back to normal the natural way. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
Sciatic nerve pain, or sciatica, is a collection of symptoms caused by a wide array of underlying health issues. While there are numerous treatments for the treatment of sciatica, a doctor’s treatment plan for back pain and sciatica may also include alternative treatments, such as acupuncture, acupressure, biofeedback, and/or yoga. Many patients have reported that alternative treatments have helped relieve their sciatic nerve pain. If you’re experiencing symptoms of sciatica, you might want to try the following alternative treatment options.
Acupuncture
Acupuncture practitioners have the belief that your body has an energy force called Qi or Chi (pronounced “chee”). They believe that if Chi is blocked, it can create physical disease. Both acupuncture and acupressure (see below) function to restore a healthy, energetic flow of Chi. (All these Eastern approaches to healing are distinct from Western scientific concepts. That doesn’t make them better or worse; it only makes them different.)
In order to perform acupuncture, acupuncturists insert very fine needles, which are sterilized and disposable, into specifically exact points on the body. These points are known as meridians. Each meridian is the same as a channel, referred to as an acupoint, or acupuncture point. Because meridians run near the skin’s surface, it is not necessary to insert needles deep into the tissue. Meridians correspond to specific sections of the human body or to a human body system like the nervous, musculoskeletal, cardiovascular, or lymphatic system. During an acupuncture treatment, the acupuncture practitioner will usually gently twirl or heat some or all of the needles.
It’s common for individuals to question whether acupuncture is uncomfortable, however, even patients who have been afraid of the needles at first, have found acupuncture to be a relaxing and painless experience. If you would like to pursue acupuncture treatment, please make sure to look for a licensed acupuncture practitioner who uses sterile and disposable equipment.
Acupressure
Acupressure has often been formerly compared to acupuncture. Acupressure is a non-invasive, secure, and gentle therapy which is believed to help unblocks Qi without using needles. The acupressure practitioner uses their thumbs, fingers, and elbows to put an exact quantity of pressure to specific points in the body. Acupressure therapy comprises the use of consistent pressure to one or more points and briskly rubbing against the acupressure point to stimulate it. Acupressure points and acupuncture points are identical.
Biofeedback
This type of alternative treatment option involves much more than simply telling your body to “stop feeling pain” Biofeedback is a mind-body therapy which rewires the brain by teaching you how to change or control a habitual reaction to pain or stress.
Could a person just “believe their pain away” with biofeedback? Unfortunately, it’s not that simple. As a matter of fact, it requires a much more demanding effort from the individual. Biofeedback frequently requires intensive patient participation and it is not an alternative treatment option for everybody. Some experts view biofeedback as a controversial therapy because its use in the treatment of low back pain or sciatica has not been adequately researched. In spite of this view, many individuals have benefited from biofeedback.
Biofeedback involves using special equipment to quantify and provide “feedback” to the individual about his or her physiological reactions to certain stimuli, like stress and muscle tension. By instructing the patient to perform deep breathing techniques, visualization, and mental and physical exercises, the individual learns how to control their response to stress and pain related to muscle tension, in this scenario, muscle tension that may contribute to sciatica.
Yoga
Yoga stretches can decrease symptoms of sciatica when the trigger is piriformis syndrome (sometimes a controversial diagnosis). Piriformis syndrome occurs when the piriformis muscle found in the lower portion of the spine compresses the sciatic nerve. This muscle aids in hip rotation. Gently stretching this muscle may help reduce sciatic pain. However, certain yoga stretches may aggravate symptoms of sciatica. Poses such as forward bending and twisting can irritate sciatic nerve pain. Any exercise which involves extending the back of the thighs (hamstrings) can irritate sciatica. As with any exercise, the patient must remember not to push their body beyond their pain limitations. Respect the body, and remember: Gently stretch.
As part of your treatment plan, you might want to try other sciatica treatment options. The following list are sciatica treatment, you may want to research to determine if they’re appropriate for you:
Chiropractic care
Physical therapy
Drugs/medications
Surgery
Chiropractic Care
Chiropractic care is a popular, alternative treatment option commonly utilized to help treat sciatica. The purpose of chiropractic care is to promote the body’s capacity to heal itself naturally, without the need for drugs/medications or surgery. It’s based upon the scientific principle that limited spinal movement leads to pain and decreased function and performance.
A chiropractor may use a variety of methods or techniques to improve sciatic nerve pain. The type of chiropractic care provided depends on the reason for the individual’s sciatica. A sciatica treatment program may include ice/cold treatments, ultrasound, TENS, and spinal adjustments or manual manipulations. Below are more details on these chiropractic care modalities.
Ice/cold treatment reduce inflammation and help improve sciatic nerve pain.
Ultrasound is gentle heat made by sound waves which penetrates deep into the soft tissues. Ultrasound increases circulation and helps to reduce muscle spasms, cramping, swelling, stiffness, and pain.
TENS unit (transcutaneous electrical nerve stimulation) is a small box-like, battery-powered, mobile muscle sculpting system. Variable intensities of electric current control acute pain and reduce muscle spasms. Bigger versions of this home-use TENS units are used by chiropractors, physical therapists and other rehabilitation professionals.
Spinal adjustments and manual manipulations are at the core of chiropractic care. Manual manipulation frees restricted movement of the spine and helps reestablish misaligned vertebrae in the spine. Spinal adjustments can help reduce nerve compression responsible for inducing pain, muscle spasm, inflammation and other symptoms associated with sciatica. Spinal adjustments and manual manipulations have been proven to be safe and effective.
Furthermore, a chiropractor may utilize physical therapy to help improve symptoms of sciatica. After a careful diagnosis, a doctor of chiropractic can recommend a series of appropriate stretches and exercises which, together some of the chiropractic care modalities mentioned above, can help speed up the recovery process. Chiropractic care focuses on healing through movement, helping to restore the proper connection between the brain and body in order to promote natural healing of sciatica nerve pain.
Dr. Alex Jimenez’s Insight
Because sciatica can be caused by a variety of underlying health issues, many different treatment modalities can be used to help relieve the common low back pain complaint. However, alternative treatment options, such as acupuncture, yoga and chiropractic care, have become increasingly popular in the treatment of sciatic nerve pain. Among the wide array of alternative treatment options, chiropractic care has become one of the most well-known modalities for improving symptoms of sciatica. Chiropractic care utilizes spinal adjustments and manual manipulations to carefully correct misalignments in the spine, or subluxations, which are often the most prevalent cause of sciatica. Other alternative treatment options can also efficiently help treat sciatic nerve pain without the need for drugs/medications or surgery.
Can Alternative Treatment Options Help Treat Sciatica?
There is no right or wrong answer to this question: several alternative treatment options can help relieve your sciatic nerve pain but they may not provide the same relief to another individual. If you’re considering trying alternative treatment options to address your own sciatica, discuss the options with your doctor. They might also have recommendations for healthcare professionals which can ultimately help improve your sciatica. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
Sciatica is characterized by pain in the lower back and gluteal region. This pain can radiate down one or both legs into the thigh, calf, ankle, and foot. Genuine sciatica occurs when pain travels beneath the knee.
Sciatic nerve pain results when the base of the spine is compressed or irritated and/or if trauma from an injury or an aggravated condition have compressed the spinal segments surrounding the sciatic nerve. The sciatic nerve is located at the sacral areas of the spine and the lumbar spine. Sciatic nerve pain or sciatica can be described as sharp, dull, burning, tingly, numb, continuous, or intermittent and generally affects only one side of the body. It can radiate throughout the entire length of the nerve, in some cases all of the way down to the feet.
Sciatic nerve pain is most often the result of a bulging or herniated disc, spinal stenosis, or in extremely rare instances, infection or tumor. The cause of your pain determines what are your treatment options to relieve sciatica.
Sciatica Treatment Options
The following article lists several common sciatica treatment options. You may want to read about:
People who have lower back pain have been prescribed bed rest so as to offer relief for aching bones and joints. Research in recent years has suggested that bed rest alone won’t offer relief for those suffering from sciatica or sciatic nerve pain.
Staying active may be more beneficial for people who suffer with back pain due to the compression or irritation of their sciatic nerve. Not to say that you ought to be running marathons. Activity means being mobile and up for long periods of time which are not sufficient to cause further injury and aggravation for your back pain. Some healthcare professionals may prescribe certain exercises, or some could simply indicate walking.
Sciatic Nerve Pain Relief
Pain is often treated with a non-steroidal anti-inflammatory medication (NSAID) such as ibuprofen or codeine (in severe cases).
In some cases a cortisone-like drug could be injected into the epidural space surrounding the spinal column. This process is like the epidural used during childbirth, and it’s called an epidural steroid injection. A course of this type of treatment may offer temporary relief, however, it doesn’t address the root of the problem. Treatment options like chiropractic care can help treat symptoms of sciatica at the source.
Chiropractic Treatment for Sciatic Nerve Pain
A chiropractor frequently treats people with sciatica. Their adjustments will aim to realign the spine, taking off the pressure of the sciatic nerve and often bringing rapid sciatica relief. When the stress is off, the body can begin to heal itself. While adjustments are probably most often used, other remedies may be given, especially if an adjustment is not recommended for the patient’s health issue. Other chiropractic treatment options might include using ice/cold treatment, ultrasound, a TENS (transcutaneous electric nerve stimulation) device or rehabilitative exercises. Ultrasound warms the region and increases circulation, which can reduce the swelling and muscular strain. A TENS device brings relief by using a slight electric current to relax muscle spasms and to increase endorphins. Additionally, a chiropractor might frequently consist of rehabilitative exercises so as to accelerate the recovery process. Massage therapy might also assist.
Ice/Cold Therapy reduces inflammation and aids restrain from sciatic nerve pain.
Ultrasound is gentle heat created by sound waves which penetrates deep into tissues. As mentioned previously, it increases circulation and reduces muscle spasms, cramping, swelling or inflammation, stiffness, and pain.
Adjustments (Spinal Manipulations). Spinal adjustments are in the heart of Chiropractic care. Manipulation supports restricted motion of the spine and helps to restore misaligned vertebral bodies with their proper position in the spinal column. Adjustment techniques differ from a swift high velocity thrust to those that combine minimal pressure and gentle pressure. Mastery of every technique is an art which requires great skill and precision. Spinal manipulation is the remedy that distinguishes chiropractic care from other medical areas.
Rehabilitative exercises. A combination of aerobics, strength training and stretching is commonly used to unleash pain-relieving endorphins in addition to relax the muscles which may be causing the nerve compression or irritation.
In some individuals, sciatica may fix itself, maybe occurring only once or a couple of times. However, if not treated properly, sciatica can worsen. A chiropractor can help bring relief, however, several alterations, will likely be required, especially if it has been occurring for a while. Letting a chiropractor treat sciatic nerve pain provides you a no surgery and no medication choice. Exercises will most likely be advisable to strengthen the muscles in the back to help prevent sciatica from recurring, and recovery is apt to take some time.
Surgery for Sciatic Nerve Pain?
If no other alternative treatment option has provided the patient relief from their symptoms, some patients with sciatica may discover substantial relief from surgery. In cases of herniated discs, a surgical procedure called a laminectomy may be performed. In this process, a portion of the posterior arch is removed to relieve pressure on pinched nerve tissues. In cases of spinal stenosis, the portion of bone that’s putting pressure on the sciatic nerve system could be taken off. Surgery is not for everybody. But for people who have shown no sign of progress in four to six weeks and that have had CT scans (computed tomography) or MRI that reveal a herniated disc or spinal stenosis, surgery may provide substantial relief.
Dr. Alex Jimenez’s Insight
Surgical interventions are frequently discussed as a possible treatment option for a variety of injuries and/or conditions which cause sciatica, however, surgery should only be considered as a last resort after all other treatment options have been utilized without improvement. Chiropractic care is a natural treatment approach which focuses on the diagnosis, treatment and prevention of sciatic nerve pain through the use of spinal adjustments and manual manipulations, among other commonly utilized treatment methods. Through the proper alignment of the spine, chiropractic care focuses on allowing the human body to naturally heal its sciatica without the need for surgery or drugs/medications.
The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
Doctors of Chiropractic (DC), or chiropractors, regularly treat sciatica. Sciatica is characterized by pain that originates in the low back or buttocks which travels down one or both legs, into the foot. Sciatic nerve pain varies in intensity and frequency; minimal, moderate, acute and chronic, intermittent, frequent or constant.
Pain is described as dull, achy, sharp, toothache-like, pins and needles or similar to electric shocks. Other symptoms associated with sciatica include numbness, burning and tingling sensations as well as weakness. Sciatica can also be called radiating or referred pain, neuropathy, or neuralgia. A common misconception, however, is that sciatica is a disease, nevertheless, sciatica is really a collection of symptoms belonging to a specific disorder.
Sciatica Is Caused by Nerve Compression
Sciatica is generally brought on by sciatic nerve compression. Disorders known to trigger sciatic nerve pain include lumbar spine subluxations, or misaligned vertebral bodies, herniated or bulging discs (slipped disks), pregnancy and childbirth, tumors, and even as a result of non-spinal disorders, such as diabetes, constipation, or sitting on one’s back pocket wallet.
One common cause of sciatica is piriformis syndrome. Piriformis syndrome is named after the piriformis muscle. The piriformis muscle is located in the lower part of the spine, connects to the thighbone, and also assists in hip rotation. The sciatic nerve runs under the piriformis muscle. This muscle is susceptible to injury from sports injuries, a slip-and-fall accident, hip arthritis, or due to a difference in leg length. Such situations can cause cramping and spasm to develop in the piriformis muscle, thus pinching the sciatic nerve and causing pain and discomfort.
Sciatic nerve compression may lead to the loss of feeling (sensory loss), paralysis of one limb or group of muscles (monoplegia), as well as sleeplessness or insomnia.
Proper Diagnosis of Sciatica Is Vital
Since there are many disorders that cause sciatica, a healthcare professional’s initial step would be to determine what is causing the patient’s sciatica symptoms. Forming a diagnosis entails a thoughtful review of the patient’s medical history, as well as a physical and neurological examination. Diagnostic testing involves a x ray, MRI, CT scan and/or electrodiagnostic tests (nerve conduction speed, electromyography). These examinations and tests help to detect possible contraindications to spinal adjustments and other chiropractic treatment methods.
Chiropractic Treatment of Sciatic Nerve Pain
The objective of chiropractic treatment for sciatic nerve pain is to assist the body’s capacity to heal itself. It is based upon the scientific principle that limited spinal movement contributes to pain and decreased function and functionality. Chiropractic care is non-invasive (nonsurgical) and drug-free.
The type of chiropractic treatment provided is dependent upon the cause of the patient’s sciatica. A sciatic nerve pain chiropractic treatment program may include several different therapies such as ice/cold treatments, ultrasound, TENS, and spinal adjustments (sometimes called spinal manipulation). Below are additional details on these chiropractic treatment modalities.
Ice/Cold therapy reduces inflammation and helps to control sciatic nerve pain.
Ultrasound is mild warmth created by sound waves which penetrate deep into cells. Ultrasound increases circulation and helps to decrease muscle spasms, cramping, swelling, stiffness, and pain.
TENS unit (transcutaneous electric nerve stimulation) is a small box-like, battery-powered, portable muscle stimulating machine. Various intensities of electrical current control acute pain and reduce muscle spasms. Larger versions of this home-use TENS units are utilized by chiropractors, physical therapists and other rehabilitation healthcare professionals.
Adjustments (Spinal Manipulation) At the heart of chiropractic care are spinal adjustments. Spinal manipulation frees restricted movement of the spine and helps to restore misaligned vertebral bodies with their appropriate position in the spine. Spinal adjustment helps to decrease nerve irritability responsible for causing inflammation, muscle soreness, pain, and other symptoms associated with sciatica. Adjustments should not be painful. Spinal manipulation is demonstrated to be safe and effective.
In college and during their training, students of chiropractic understand many different adjustment techniques permitting them to take care of various sorts of subluxations and spinal disorders. Chiropractic techniques vary in the swift high velocity thrust to people that unite minimal pressure and mild pressure. Mastery of each technique is an art which needs great precision and skill. Spinal adjustments and manipulations is the treatment that differentiates chiropractic care from other medical areas.
Dr. Alex Jimenez’s Insight
Sciatic nerve pain, or sciatica, is identified as radiating pain and discomfort along the length of the sciatic nerve, which travels from the low back down the buttocks and into one or both legs, occasionally reaching all the way down to the calf and foot. Approximately more than 3 million cases of sciatica are reported in the United States each year, where it is generally caused by the compression of the sciatic nerve as a result of a bulging or herniated disc. Chiropractic care is a well-known, alternative treatment option commonly utilized to help improve a variety of spinal health issues, including sciatica, or sciatic nerve pain.
Chiropractic’s Limitations in Treating Sciatica
Sciatica may be caused by other disorders beyond the scope of chiropractic clinic. If the doctor of chiropractic, or chiropractor, determines the patient’s disease requires treatment by another kind of doctor, then the patient is referred to another specialist. In some cases, the chiropractor can continue to treat the patient and also co-manage the patient’s care with the other specialist. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
Various exams and tests are available to diagnose the source of an individual’s sciatica symptoms. The way your healthcare professional diagnoses sciatic nerve pain may depend on their specialty as well as on the cause of sciatica.
If you suspect you may have sciatica, however, it’s essential to first contact a spine specialist who may be able to properly diagnose any spinal health issues which may be causing your sciatic nerve pain. You might suspect you’ve got sciatica if you’re experiencing shooting pain in the low back and down one or both of your legs, or if you’ve been experiencing numbness, weakness or tingling and burning sensations in your legs.
Throughout your healthcare visit, your doctor or spine specialist will ask you specific questions and also carry out a few basic examinations and tests. This is to attempt to identify the reason for your sciatica and create an appropriate treatment program for you, or a method to manage your pain and other symptoms associated with sciatica as well as to help you recover.
As you are able to learn within our previous article on the common causes of sciatica, there are numerous spinal health issues that can lead to sciatic nerve pain, or sciatica. Your treatment plan will be determined depending on the main cause of your pain, therefore it is important to get an accurate diagnosis with a qualified and experienced spine specialist.
Furthermore, your spine specialist will ask about your current symptoms and remedies you may have used to alleviate sciatica. They will also ask other common questions, such as:
When did the sciatic nerve pain start?
Where do you feel pain? Is it all of the way down your leg? Is it in both legs? Does it stop at your knees?
On a scale from 1 to 10, with 10 being the worst pain possible, rate your pain.
Are you currently experiencing tingling sensations or weakness in your legs and/or feet?
What physical activities did you recently participate in?
Does walking uphill or downhill increase pain?
What else have you done to relieve your sciatic nerve pain? Have you tried particular medications or exercises?
Does anything reduce the pain or make it worse?
Your spine specialist will even execute physical and neurological examinations to determine if any of the symptoms of sciatica may be due to these health issues.
In the physical examination, a healthcare professional will observe the patients position, range of motion, and physical condition, noting any motion which causes pain. The healthcare professional will also feel your spine, notice its curvature and alignment, and feel for muscle strain. Through the neurological exam, the spine specialist will examine your reflexes, muscle strength, and other nerve changes.
To properly diagnose the cause of your sciatica, you might need to have some imaging evaluations. You could have an x-ray or a computed tomography (CT or CAT) scan. When it’s possible that a bulging or herniated disc or spinal stenosis may be causing your sciatica, a healthcare professional may order a magnetic resonance imaging (MRI) test.
Collectively, all these exams and tests will give your spine specialist a more comprehensive view of your sciatic nerve pain. Using this information, they will most probably be in a better position to make a diagnosis of the underlying cause of your sciatica.
Chiropractic Diagnosis for Sciatica
It’s very important that sciatica be correctly diagnosed by a healthcare professional in order for it to be treated correctly. A chiropractor is a qualified and experienced spine specialist who focuses on the diagnosis, treatment and prevention of a variety of injuries and conditions associated with the musculoskeletal and nervous system, including sciatica, Because many ailments can cause symptoms of sciatica, the chiropractor’s first step before beginning treatment is to determine the reason for the patient’s sciatica.
By studying about the patient’s medical history and administering physical and neurological examination, the doctor of chiropractic, or chiropractor, can get a thorough diagnosis of a patient’s sciatica. A chiropractor can also refer patients to receive diagnostic testing to more accurately determine the source of the health issues. As mentioned above, diagnostic testing includes MRI, X-ray, CT scan and/or electro diagnostic tests, such as nerve conduction velocity or electromyography. The examinations and diagnostic tests can also help determine the probable contraindications to chiropractic care as well as other treatment methods.
Chiropractic Treatment for Sciatica
It is worth remembering that the purpose of chiropractic care is not only to reduce sciatica but its objective is to help maximize the human body’s potential to heal itself, treating the symptoms at the source. Chiropractic care is non-invasive, drug-free, and natural way of healing the human body. After a proper diagnosis of the true cause of a patient’s sciatica is determined, the chiropractor may begin treatment accordingly.
The chiropractor will attempt to ascertain the cause of the sciatica so that a sciatica treatment plan might be administered. Chiropractic treatment for sciatica can include, cold therapies, ultrasound, spinal adjustments or manual manipulations, TENS, among other treatment methods. These treatment options have their own way of treating the sciatica symptoms.
Ice/Cold therapy helps reduce inflammation so that sciatic pain may be controlled. Ultrasound is heat created by sound waves entering deep into the tissues to decrease muscle spasms, stiffness, and pain. TENS unit or transcutaneous electrical nerve stimulation is a small box battery-powered portable machine which stimulates muscles. Spinal adjustments and manual manipulations function by correcting misaligned vertebral bodies, or subluxations, in order to restore them into an appropriate position in the spinal column so that nerve irritability and inflammation is decreased thereby preventing spasm, pain and other back symptoms.
Dr. Alex Jimenez’s Insight
A chiropractor is a spine specialist which can properly diagnose the source of a patient’s sciatica through the use of physical and neurological exams and tests. Diagnostic procedures may require a healthcare professional to check the individual’s muscle strength as well as their reflexes, for instance, the chiropractor may ask the patient to walk on their toes or heels, or they may ask the patient to lift their legs one at at time, while lying on their back. Symptoms of sciatica will generally worsen during these type of exams and tests. Furthermore, a doctor of chiropractic may request for imaging diagnostic tests to more effective determine the cause of the patient’s sciatic nerve pain, however, these may not be required unless the symptoms are severe.
Chiropractic care has increasingly become one of the most frequently recommended alternative treatment options for sciatica. To receive a proper diagnosis of your sciatic nerve pain, seek immediate medical attention from a spinal specialist, such as a chiropractor. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
Several lumbar spine (lower back) disorders can cause sciatica. Sciatic nerve pain is frequently described as mild to extreme pain at the right or left leg. Sciatica is caused by compression of one or more of the five sets of nerve roots in the lower spine. Sometimes doctors call sciatica a radiculopathy.
Radiculopathy is a medical term used to describe pain, numbness, tingling sensations, and weakness in the arms or legs caused by a nerve root issue. If the nerve problem is in the neck, it is referred to as a cervical radiculopathy. But since sciatica affects the low back, or the lumbar spine, it is known as a lumbar radiculopathy.
Pathways to Reduce Sciatic Nerve Pain
Five sets of nerve roots at the lumbar spine unite to create the sciatic nerve. Starting in the rear of the pelvis (sacrum), the sciatic nerve runs in the back, under the buttock, and downward through the hip area into every leg and foot. Nerve roots aren’t “solitary” structures but are part of the body’s whole nervous system capable of transmitting pain and feeling to other areas of the body.
Radiculopathy occurs when compression of a nerve root from a disc rupture (herniated disc) or bone spur (osteophyte) happens in the lumbar spine before it joins the sciatic nerve.
Causes of Sciatic Nerve Pain
Several spinal disorders can lead to spinal nerve pain and compression or lumbar radiculopathy. The 6 leading causes of sciatic nerve pain are:
a bulging or herniated disc
lumbar spinal stenosis
spondylolisthesis
trauma from an injury
piriformis syndrome
spinal tumors
Lumbar Bulging Disc or Herniated Disc
A bulging disc is also known as a contained disc disorder. This means that the gel-like center (nucleus pulposus) of an intervertebral disc stays “contained” within the tire-like outer wall (annulus fibrosus) of the intervertebral disc.
A herniated disc occurs when the nucleus pulposus breaks through the annulus fibrosus. It’s known as a “non-contained” disc disorder. If the disc bulges or herniates, disc material can push against an adjacent nerve root and compress delicate nerve tissue and lead to sciatica.
The results of a herniated disc may often be worse. When the herniated disc causes direct compression of the nerve root from the inside of the bony spinal canal, the disc material itself also includes an acidic, chemical irritant (lipoic acid) which causes nerve irritation. In both situations, nerve compression and irritation cause pain and inflammation, often leading to extremity numbness, tingling sensations, and muscle fatigue.
Lumbar Spinal Stenosis
Spinal stenosis is a nerve compression disease most frequently affecting older adults. Leg pain similar to sciatica may happen as a result 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 in the spinal cord through passageways called neural foramina comprised of bone and ligaments. Between each set of vertebrae, situated on the left and right sides, is a foramen. Nerve roots pass through those openings and extend outward beyond the spinal column to innervate different areas of the human body. Whenever these passageways become narrow or obstructed causing nerve compression, the term foraminal stenosis is utilized.
Spondylolisthesis
Spondylolisthesis is a disease that most often affects the lumbar spinal column. It’s characterized by a single vertebra slipping forward over an adjacent vertebra. When a vertebra slips and is displaced, spinal nerve root compression occurs and often triggers sciatic nerve pain. Spondylolisthesis is categorized as developmental (discovered at birth, develops through childhood) or acquired from spinal illness, injury or physical strain (eg, lifting weights).
Trauma from an Injury
Sciatica can result from sciatic nerve compression brought on by external forces into the lumbar or sacral spinal nerve roots. Examples include automobile accidents, falling down as well as football and other sports injuries. The impact may injure the nerves or, sometimes, fragments of broken bone may compress the nerves.
Piriformis Syndrome
Piriformis syndrome is named for the piriformis muscle and the pain generated if the muscle irritates the sciatic nerve. The piriformis muscle is located at the lower part of the spine, joins to the thighbone and also aids in hip rotation. The sciatic nerve runs beneath the piriformis muscle. Piriformis syndrome develops when muscle spasms develop in the piriformis muscle thereby compressing the sciatic nerve. It may be difficult to diagnose and treat due to the lack of x-ray or magnetic resonance imaging (MRI) findings.
Spinal Tumors
Spinal tumors are abnormal growths which are either benign or cancerous (malignant). Luckily, spinal tumors are infrequent. But if a spinal tumor develops in the pelvic region, there’s a danger for sciatica to grow as a result of nerve compression.
If you feel you’ve got sciatica, call a healthcare professional. The first step toward relieving pain would be a proper diagnosis.
Sciatic pain normally improves within about 4 to 6 weeks. Weakness and numbness may take more time to resolve. Symptomatic treatment such as cold packs, anti-inflammatory medications, and physical therapy/stretches/exercise may help ease discomfort and promote return to regular activities. Surgery to take pressure from the nerve is generally reserved for cases of severe pain. Alternative treatment options, such as chiropractic care, can help improve symptoms of sciatic nerve pain.
Dr. Alex Jimenez’s Insight
Sciatica is correctly defined as a collection of symptoms, rather than a single injury or condition, caused by the compression or irritation of the sciatic nerve. Also known as sciatic nerve pain, sciatica is generally an indication of a serious underlying health issue along the length of the lumbar spine, or low back. Sciatica can develop as a result of a variety of injuries and/or aggravated conditions, including but not limited to, a bulging or herniated disc, trauma or due to piriformis syndrome caused by sports injuries. Because sciatic nerve pain can manifest due to many health issues, diagnosing it can often be challenging. Fortunately, a doctor of chiropractic, or chiropractor, can properly diagnose sciatica in order to follow-up with the best treatment.
Chiropractic for Sciatic Nerve Pain
Diagnosis of sciatica Is crucial. A chiropractor assesses the patient and reviews medical history to ascertain what is causing the patient’s sciatic nerve pain. Chiropractic care is based on the principle which limited spinal motion results in pain and decreased function. Chiropractic care helps the body heal itself with non-invasive (non-surgical), drug-free treatment.
Chiropractic treatment methods for sciatic nerve pain include:
Ice/Cold therapy reduces inflammation and assists control sciatic nerve pain.
Ultrasound is mild warmth made by sound waves which penetrates deep into the soft tissues. It boosts circulation and reduces muscle spasms, cramping, swelling, stiffness, and pain.
Spinal Adjustments (Manual Manipulations). Spinal adjustments and manual manipulations are in the heart of chiropractic care. Manipulation supports restricted motion of the spine and helps restore misaligned vertebral bodies with their appropriate status in the spine. Adjustment techniques vary in the swift high velocity push to people who unite minimal force and mild pressure. Mastery of every technique is an art which requires great skill and precision. Spinal adjustments and manual manipulations are the treatment methods that differentiates chiropractic care from other medical disciplines.
The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topics: Sciatica
Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.
Chiropractic Therapy: Sandra Rubio discusses how Dr. Alex Jimenez and his staff can help relieve your sciatica symptoms. Chiropractic care can improve pain and discomfort as well as reduce irritation and inflammation caused by sciatica. In addition, a chiropractor like Dr. Jimenez can also provide nutritional and fitness advice for sciatic nerve pain. Other treatment methods, like deep-tissue massage, can help relieve sciatica symptoms. Dr. Alex Jimenez is the homeopathic, non surgical choice for sciatic nerve pain and its associated symptoms.
Chiropractic Therapy For Sciatica Pain
Sciatica is generally caused by the compression of lumbar or sacral nerves or by compression of the sciatic nerve. When sciatica is caused by compression of a dorsal nerve root, it’s known as lumbar radiculopathy. This can occur because of a spinal disk bulge or spinal disk herniation (a herniated intervertebral disc), or by roughening, enlarging, or misalignment (spondylolisthesis) of the fascia, or as a consequence of degenerated discs which can reduce the diameter of the lateral foramen by which nerve roots exit the spine.
Our objective is to alleviate your pain and restore freedom, in�treating��our�sciatica�sufferers. Employing state of the art x-ray/fluoroscopic and ultrasound helps our experts pinpoint what�s going on. For treating sciatica we believe in the ability of medicine. By stimulating the body�s natural healing response, these procedures let us naturally provide long-term and deep pain relief.
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Our objective is to alleviate your pain and restore freedom, in�treating��our�sciatica�sufferers. Employing state of the art x-ray/fluoroscopic and ultrasound helps our experts pinpoint what�s going on. For treating sciatica we believe in the ability of medicine. By stimulating the body�s natural healing response, these procedures let us naturally provide long-term and deep pain relief.
