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
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.
We want you to live a life that is fulfilled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life. I have made a life of taking care of each and every one of my patients.
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Sciatica Sufferers:Sciatica is a common back ailment that affects approximately 1 in 10 adults in the United States. It is most prevalent in people between the ages of 25 and 45. Sciatica is characterized by a shooting pain that originates in the lower back and travels down through the hip, buttock and back of leg. The pain can be so severe that it inhibits mobility and can prevent people from working, taking care of their home, or just enjoying their life. Traditionally, doctors have treated the condition with medications and some invasive therapies, but chiropractic treatments have been found to be extremely effective in alleviating the pain and curing the condition.
What Is Sciatica?
Sciatica is a condition that affects the lower back, specifically pain that travels along the sciatic nerve path. This path originates in the lower back and extends down each side of the hip, buttocks, and down the leg to the feet. Usually, only one side is affected during a case of sciatica.
Sciatica commonly occurs when there is a spinal condition, such as a bone spur on the spine, a herniated disk, or when a condition like spinal stenosis (narrowing of the spine) compresses the nerve. The result is inflammation, numbness, pain, and stiffness in the leg that is affected.
While sciatica pain can be severe, the majority of the time the condition is resolved in a matter of weeks without surgical intervention. Some doctors may suggest surgery if the patient experiences extreme weakness in the leg or has problems with their bowel or bladder. Most of the time doctors will prescribe medication to treat the pain and relax the muscles that surround the sciatic path in an effort to provide the patient with some relief.
How Chiropractic Treatments Help Sciatica Sufferers
Chiropractic has been shown to be very effective in treating sciatica by helping the body heal itself. It is non-invasive and does not use medications, making it an optimal choice for many patients. There are various treatments that a chiropractor may use or recommend. They may be used alone or in conjunction with other therapies.
Adjustments. Spinal manipulation, or adjustments, is the core of chiropractic treatment. It helps to realign the spine, freeing restricted movement and helps bring the body back into its proper alignment so that it functions better and more effectively. It also helps to reduce the pain that is associated with nerve inflammation, particularly that associated with sciatica.
Ultrasound. A very mild heat that is created by sound waves at a frequency that is beyond human hearing providing deep tissue penetration. This therapy stimulates circulation and aids in reducing muscle spasms, stiffness, swelling, pain, and cramping.
Ice or Cold Therapy. This therapy helps to reduce and control the pain of sciatica, as well as reduce inflammation.
TENS. Transcutaneous electrical nerve stimulation is a therapy that employs a TENS unit, a small battery powered, portable box that stimulates the muscles. It uses electrical currents at variable intensities to help control pain and reduce the occurrence of muscle spasms. Some chiropractors and physical therapists use larger versions of this device in their offices, but many use the portable units because they are more convenient.
A chiropractor may incorporate exercises and nutritional recommendations into their treatment for sciatica sufferers. This often depends on the patient�s individual needs, the severity of the condition, and their lifestyle and habits. A variety of chiropractic techniques may also be used to treat sciatica. Since each patient is different, the chiropractor will talk with the patient to better understand what they do on a day-to-day basis and what may be causing the sciatic pain to occur. From there they will treat the problem from the patient�s perspective, seeking the best, most effective approach.
If you or a loved one is suffering from this condition, please give us a call. Our Doctor of Chiropractic is here to help!
Is sciatica a spinal disorder or a symptom of a spinal disorder?�The term sciatica is commonly used to describe pain traveling in the distribution of the sciatic nerve, therefore it is more accurate to state that it is a symptom of a spinal disorder not a spinal disease itself.
Frequent symptoms of sciatica are listed below.
Sciatica usually affects one side of the human body, although it may affect both.
Pain from sciatic nerve pain may feel dull, sharp, burning, or accompanied by irregular shocks of shooting pain starting in the buttock and traveling downward into the thigh and/or leg.
Sciatica may also extend below the knee and might be felt at the feet.
Occasionally, symptoms of sciatic nerve pain include tingling sensations and numbness.
Sitting and attempting to stand up could be painful and challenging.
Coughing and sneezing can intensify the pain.
Where is the Sciatic Nerve?
Sciatic nerve fibers start at the 4th and 5th lumbar vertebra (L4, L5) and the first few segments of the sacrum. The nerve passes through the sciatic foramen, a nerve passageway just beneath the piriformis muscle which rotates the thigh laterally, towards the rear of the extension of the hip and into the lower part of the gluteus maximus, or the muscle in the buttocks,� that helps with thigh extension. The sciatic nerve then runs vertically down to the rear of the thigh, behind the knee and branches out into the hamstring muscles, or the calf, and farther downward into the feet.
Sciatica Caused by Nerve Compression
Compression of the sciatic nerve may cause any of the above-cited symptoms. Rarely is neurological damage permanent and paralysis is rarely a threat due to sciatica since the spinal cord ends before the first vertebra of the lumbar spine.
When to seek immediate medical attention for sciatica: Increasing back or leg weakness and/or bladder or bowel incontinence is a sign of cauda equina syndrome, a severe illness requiring emergency treatment. If you are experiencing these symptoms at the moment, please seek immediate medical attention from a qualified and experienced back pain specialist.
Certain lumbar spinal diseases can cause or lead to sciatica symptoms, including:
Herniated discs are the usual cause of sciatica in the lumbar spine.
Degenerative disc disease, a natural biological process related to aging, is known to cause disc weakness that may be a precursor to disc herniation.
Lumbar spinal stenosis is a narrowing of one or more neural passageways due to disc degeneration and/or facet arthritis. The sciatic nerve may become impinged as a consequence of these changes.
Isthmic spondylolisthesis results from a stress fracture frequently at the 5th lumbar vertebra (L5). The fracture together with disc space collapse may enable the vertebra to slide forward on the first sacral segment (S1). The slippage might cause the L5 nerve root to become pinched as it leaves the spine, developing into symptoms of sciatica.
Spinal tumors and illnesses are other ailments that may compress the sciatic nerve, but this is rare.
How Your Doctor Diagnoses Sciatica
A healthcare professional’s diagnosis of your pain and other symptoms may include discussing your medical history, recent accidents or injuries (eg, falls) as well as also a review of your current medicines (both over-the-counter and prescription drugs). Your doctor may additionally perform a physical evaluation using one or more movement evaluations to help determine the origin or causes of your pain. During the neurological portion of the evaluation, your reflexes and muscle strength are tested. If needed, they may order imaging studies, like an x-ray, CT scan, or even an MRI. The imaging tests can help confirm their diagnosis.
Furthermore, a healthcare professional may ask you a few questions, such as:
“How did the pain develop?”
“On a scale from 1 to 10, with 10 being the worst pain possible, rate your pain.”
“Is the pain caused by walking uphill or downhill?”
“How does the pain affect activities of daily living?”
“What kind of treatment was attempted and what was effective?”
Not all buttock and leg pain is sciatica as there are a number of different structures in the spine that can cause these kinds of pain. For example, the sacroiliac joint, or the joint between the pelvis and sacrum, the smallest segment of the spine, may cause or refer pain to the buttock as well as a sprain of the facet joints, which would be the connecting joints at the rear part of the spine. A bulging or herniated disc�can also refer pain down into the leg. If buttock and leg pain symptoms are correlated with any neurologic signs of numbness or weakness, it is “true sciatica” and has to be evaluated by a spine care expert, such as a chiropractor. If severe neurologic symptoms occur along with bowel and/or bladder control problems, it needs to be evaluated as soon as possible.
Chiropractic Diagnosis
In the assessment of lower back pain and sciatica, differential diagnosis using a “triage” concept of classifying back injuries and/or conditions to one of three categories helps guide the chiropractor when determining the source of the patient’s symptoms. These categories of chiropractic diagnosis include:
Potentially severe: tumor, infection, fracture, major neurological issues, such as cauda equina, local open wound or burn, prolonged bleeding (hemophilia), artificial joint enlargement, pacemaker problems and joint infection
Nerve issues: whenever the nerve roots from the lower back are pinched or compressed, they may cause� radiculopathy or sciatica. Typical causes of nerve root pinching and irritation include aherniated disc, spondylolisthesis and spinal stenosis
Non-specific: mechanical back pain in the lumbar spinal column. This type of lower back pain is the most frequent presentation, also contains pain for that there is not any identifiable cause.
Once the chiropractor has categorized the patient’s source of their sciatica, they may begin with the proper treatment. With chiropractic diagnosis of potentially serious injuries and/or conditions, the chiropractor will generally refer the patient to a relevant medical specialist, and as appropriate, the chiropractor might co-manage the patient’s care along with other back pain healthcare professionals. With this classification, chiropractic care may be used accordingly to avoid further spinal health issues.
In addition, with chiropractic diagnosis of a nerve root problem causing sciatica and/or non-specific causes of low back pain, chiropractors normally describe the symptoms experienced on the following scale:
Acute (symptoms lasting less than 6 months)
Subacute (symptoms lasting between 6 and 12 months)
Persistent (symptoms lasting for 12 months or more)
Recurrent/flare up (symptoms are similar to original symptoms and return sporadically or due to exacerbating circumstances).
Dr. Alex Jimenez’s Insight
Through the use of several physical evaluations and neurological assessments, a doctor of chiropractic is able to properly diagnose the source of a patient’s sciatica symptoms. Once a diagnosis has been established, a chiropractor will follow-up with the best, most recommended treatment for the individual’s specific needs and requirements. A spinal misalignment, or subluxation, is the most prevalent cause of sciatica. Spinal adjustments and manual manipulations are the most common treatment methods used to help carefully restore the natural alignment of the spine. A variety of other treatment methods can also be used by a doctor of chiropractic, to help speed up the patient’s recovery process. If the diagnosis of a patient’s sciatica symptoms determines that the source of their sciatic nerve pain is severe, a chiropractor may also refer the patient to the most appropriate healthcare professional to continue treatment.
These back pain or sciatica symptoms might be further broken down as mild, moderate or severe in pain. Once a chiropractor has properly diagnosed your sciatica symptoms, they may utilize a series of treatment modalities, including spinal adjustments and manual manipulations, among other well-known alternative treatment options, to help improve sciatic nerve pain.�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.
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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.
