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
April Hermosillo achieves overall health and wellness every day by following proper nutrition and engaging in exercises or physical activities. As a regular fitness participant, however, April Hermosillo can experience back and low back pain which ultimately affects even her most basic daily tasks.
April Hermosillo struggled with spine health issues and sciatica before she received chiropractic care. Dr. Alex Jimenez is a chiropractor in El Paso, TX who has helped April Hermosillo achieve pain relief so she can return to her everyday fitness routines. April Hermosillo describes how Dr. Alex Jimenez has tremendously helped improve her overall symptoms. April Hermosillo highly recommends Dr. Alex Jimenez as the non-surgical choice for personalized spine and sciatica treatment and rehabilitation.
El Paso Back Clinic
We are blessed to present to you El Paso�s Premier Wellness & Injury Care Clinic.
Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice includeWellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.
As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.
We want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life.
A variety of health issues can cause common symptoms which may make it difficult for people to determine the source of their pain and discomfort. Because sciatica is a collection of symptoms rather than a single condition, sciatic nerve pain can often be a frequent symptom for many health issues. The purpose of the following article is to demonstrate the differences between true sciatica and painful symptoms associated with other health issues, such as ischiofemoral impingement. �
What is Sciatica?
Sciatica is characterized as pain, tingling sensations, and numbness, due to compression or impingement anywhere along the length of the sciatic nerve. The sciatic nerve is the largest nerve in the human body and it stretches from the lower back through the hips and buttocks, down into the legs and feet. Sciatica can affect one or both sides of the human body. �
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Symptoms
The characteristic symptoms of sciatica can range from mild to severe where the sciatic nerve pain is described as a dull ache to pain or as a sharp, searing, or electric-like pain. Symptoms differ from one person to another. By way of instance, some people may experience shooting pain while some people may only experience tingling sensations and/or numbness. � The common symptoms of sciatica, also known as sciatic nerve pain, include: �
Radiating pain along the length of the sciatic nerve
Discomfort, tingling sensations, and numbness
Muscle weakness in the lower back, hips, legs, and feet
A combination of pain, discomfort, tingling sensations and numbness
Painful sensations on one or both sides of the human body
Causes
Sciatica commonly occurs when an underlying health issue results in the compression or impingement of the sciatic nerve in the lower back. A bulging or herniated disk is one of the most common causes of sciatica. However, a variety of other underlying health issues can cause sciatica and determining what causes sciatica is necessary for proper treatment. � The most common causes of sciatic nerve pain, or sciatica, include: �
Bulging disk
Herniated disk
Degenerative disk disease
Bone spur osteophytes, or bone spurs
Spinal stenosis
Piriformis Syndrome
Arthritis
Treatments
Sciatica will often resolve on its own over several weeks. Healthcare professionals recommend the use of over-the-counter drugs and/or medications, ice or heat packs on the affected areas, stretches, and exercise, among other alternative treatment options to help reduce sciatica. If symptoms worsen or do not resolve on their own, seek immediate medical attention. � People with mild or moderate sciatica may find relief from any of the following treatments, including: �
Ice or heat therapy
Stretches and exercises
Physical therapy
Chiropractic care
Acupuncture
Alexander technique or Feldenkrais method
Yoga
Drugs and/or medications
If these approaches do not help reduce sciatica, the patient may need to take one or more imaging tests, such as an X-ray or magnetic resonance imaging (MRI), to diagnose the source of their symptoms. It’s important to note that sciatica is a collection of symptoms rather than a single condition. Sciatica may be caused by a variety of underlying health issues. �
What is Ischiofemoral Impingement?
Ischiofemoral impingement syndrome is a condition which occurs when the ischium and the head of the femur experience excessive amounts of pressure, generally due to trauma, overuse, or surgery. The trauma, overuse, or surgery, can also cause bone spurs to grow along the ischium. This gives the bones an abnormal shape which makes them no longer fit together. �
Because these don�t fit properly together anymore, the bones may then start to rub against each other during movement causing friction which can damage the joint and cause painful symptoms. As friction worsens, the pain may also increase and restrict movements. The symptoms for ischiofemoral impingement may vary and treatment can also depend on symptoms. �
Symptoms
The main symptom of ischiofemoral impingement syndrome is hip pain. The pain from this underlying health issue may start off as mild, however, it can often worsen as the rubbing of the bones causes more damage and inflammation. Ischiofemoral impingement syndrome can feel similar to a pulled hamstring but the pain is generally closer to the buttocks. �
Causes
Ischiofemoral impingement occurs due to excess friction between the top of the thighbone, or the femur, and the hip bone, or the ischium. These two bones generally touch in a way which allows them to move without causing pain, however, trauma, overuse, and surgery can ultimately damage the bone. Moreover, if the damage causes a bone spur to grow on the hip or femur, as described above, the extra piece of bone�can cause more damage and make the condition worse. �
People who experience pain in the hips, buttocks, or groin that does not go away, should seek immediate medical attention to determine the underlying cause of their symptoms. Several of the symptoms associated with ischiofemoral impingement syndrome may be similar to other health issues, including sciatica, muscle, ligament and tendon tears, or fractures. A healthcare professional can perform a diagnosis to rule out ischiofemoral impingement as well as these other conditions. �
Diagnosis
To diagnose an ischiofemoral impingement, the healthcare professional may perform a physical exam. During the evaluation, doctor may feel specific areas in the hips to determine the presence of an ischiofemoral impingement. If the healthcare professional suspects you may have ischiofemoral impingement syndrome, they may request additional imaging tests, such as an X-ray or MRI, to confirm the diagnosis. Treatment will depend on the diagnosis of the source of the symptoms. �
Ischiofemoral Impingement Syndrome is quite an uncommon diagnosis for hip and groin pain � thus it is important that more common conditions like those listed below, are ruled out by a qualified Medical Professional, Chiropractor or� Physiotherapist before considering it as a diagnosis: �
Lumbar disc disease
Spinal stenosis
Bursitis
Osteoarthritis
Rheumatoid arthritis
Cancer
Inguinal hernias
Inguinal lymphadenopathy
Menstrual conditions
Urinary tract problems
Pelvic inflammatory diseases
Femoroacetabular impingement/piriformis syndromes
Treatments
There is no single treatment which can be utilized to help improve ischiofemoral impingement syndrome. The healthcare professional might recommend a variety of alternative conservative treatment options. By way of instance, they may restrict physical activities or they may recommend rest as well as prescribe drugs and/or medications to help ease the symptoms. There are many dynamic treatment protocols that can assist in these diagnoses. If alternative treatment options do not help improve the ischiofemoral impingement, the healthcare professional may also recommend the utilization of injections which contain pain medicine and/or steroids to help control the pain. If neither of these treatment approaches helps relieve the symptoms, the healthcare professional may also recommend surgery. Due to the rarity of Ischiofemoral Impingement, treatment for the condition has varied on a case by case basis. However, conservative treatment is broadly recommended as a first line approach to resolving the condition. Current conservative treatment strategies in the literature for Ischiofemoral Impingement Syndrome include: �
Nonsteroidal anti-inflammatory drugs and Gabapentin for pain associated with quadratus femoris muscle and sciatic nerve irritation
Heat, Ultrasound, and Interferential current therapies applied around the hip area.
Deep Specialized Myofascial protocols can be used.
An individually prescribed exercise program by a Physiotherapist or joint specialist targeting muscles like the quadriceps femoris, piriformis in order to adequately reduce pain and increase the range of motion in the hip joint.
CT-guided steroid and local anesthetic injection around the QFM may provide pain relief
Surgical intervention in order to correct/decompress anatomical pathology such as that first described by Johnson in 1977 is reserved for cases that do not respond to conservative therapy. Potential surgical interventions include excision of the lesser trochanter (in those experiencing pain post hip surgery), and more recent/popular peri-articular endoscopic decompression around the hip 2,7. Further research is required to better understand Ischiofemoral Impingement Syndrome � its causes, at-risk populations, and optimal management strategies- both conservative and surgical. As this condition is not yet widely recognized and understood. �
Differential Diagnosis In Proximal Hip Pain Syndroms
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Sciatica, or sciatic nerve pain, commonly characterized by pain and discomfort, tingling sensations, and numbness, can be a common symptom for a variety of underlying health issues, such as ischiofemoral impingement. Because sciatica is well-known as a collection of symptoms, rather than a single condition or disorder, patients with sciatic nerve pain should seek immediate medical attention to determine if their painful symptoms are caused by another underlying health issue. Treatment for both sciatica and ischiofemoral impingement will depend on the symptoms and diagnosis. There are many treatment options for these complex cases – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Non-Invasive Treatments for Chronic Low Back Pain
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The article above demonstrates the differences between true sciatica and painful symptoms associated with other health issues, such as ischiofemoral impingement, to help provide a diagnosis and treatment. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
Formulas for Methylation Support
�
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
� For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
� �
References Singer, Adam D., Ty K. Subhawong, Jean Jose, Jonathan Tresley, and Paul D. Clifford. �Ischiofemoral impingement syndrome: a meta-analysis.� Skeletal radiology 44, no. 6 (2015): 831-837 Johnson, K. A. �Impingement of the lesser trochanter on the ischial ramus after total hip arthroplasty. Report of three cases.� JBJS 59, no. 2 (1977): 268-269 Spencer-Gardner, Luke, Asheesh Bedi, Michael J. Stuart, Christopher M. Larson, Bryan T. Kelly, and Aaron J. Krych. �Ischiofemoral impingement and hamstring dysfunction as a potential pain generator after ischial tuberosity apophyseal fracture non-union/malunion.� Knee Surgery, Sports Traumatology, Arthroscopy 25, no. 1 (2017): 55-61 Lee, Soyoung, Inhwan Kim, Sung Moon Lee, and Jieun Lee. �Ischiofemoral impingement syndrome.� Annals of rehabilitation medicine 37, no. 1 (2013): 143
Fibromyalgia is a disorder characterized by widespread musculoskeletal pain which is also generally accompanied by fatigue, sleep, memory, and mood health issues. The most common symptoms associated with fibromyalgia include muscle pain and tenderness, however, many people with this painful condition also experience sciatica, a collection of symptoms characterized by pain, discomfort, tingling sensations, and numbness along the length of the sciatic nerve in the lower back. �
Because fibromyalgia can cause painful symptoms throughout several regions of the human body, many people with fibromyalgia may also be diagnosed with other health issues which may overlap with their present symptoms, such as sciatica. It’s essential for patients to seek immediate medical attention from a healthcare professional to receive a proper diagnosis of all of their symptoms as these other health issues may generally require different treatment approaches. �
Sciatica is one of the most common health issues to coexist with fibromyalgia. Fibromyalgia doesn’t necessarily cause sciatica or sciatic nerve pain, however, these can ultimately exist together. It’s also essential for people with fibromyalgia to understand what sciatica is and how these painful symptoms can affect their health and wellness. Healthcare professionals believe that fibromyalgia amplifies painful sensations by affecting the way the human brain processes pain signals. Moreover, fibromyalgia can affect a variety of other structures and functions in the human body, such as the gastrointestinal tract. �
Fibromyalgia and Digestion Problems
Along with muscle pain and tenderness, patients with this painful disorder also experience digestive health issues. About 70 percent of people with fibromyalgia suffer from irritable bowel syndrome symptoms, including gas, bloating, constipation, and diarrhea. Although the causes of digestion health issues and fibromyalgia are unknown, healthcare professionals have demonstrated that there is an undeniable connection between fibromyalgia and digestive health issues. �
The gastrointestinal, or GI, system consists of several fundamental parts including, the esophagus, the stomach, the small intestine, and the bowel. When digestion slows down or a food intolerance, described in further detail below, disrupts the natural process of digestion, a chain of events can cause pain and discomfort, among other symptoms, throughout the entire gastrointestinal, or GI, tract. Patients with fibromyalgia commonly report frustrating digestive problems, such as: �
Acid reflux. When the gastric juices are not being utilized in the stomach, they can often travel back up through the esophagus, causing heartburn or a painful sensation in the chest, known as acid reflux.
Cramping and constipation. When the process of peristalsis, or the smooth muscle contractions which move food through the gastrointestinal tract, becomes affected due to the irritation of the intestines, it can begin to cramp and prevent the movement of waste through the bowel, causing cramping and constipation.
Diarrhea. When the digestive process slows down or stops, undigested food can move from the stomach and into the intestine, where it can irritate the lining of the colon and produce IBS symptoms, such as diarrhea.
Gas. The longer food stays in your stomach and intestines, the longer the natural GI bacteria has to break down the compounds and the more methane gas is produced from bacteria metabolism, resulting in gas.
Research studies have utilized brain scans to demonstrate the physiological responses of patients with irritable bowel syndrome, or IBS, and patients with fibromyalgia. According to the research studies, both groups of patients demonstrated higher neurological responses to pain. Patients with IBS and fibromyalgia also demonstrated higher pain awareness. Due to the similar brain activity to pain stimulus, researchers suspect that the two health issues may share underlying causes. �
Many people with fibromyalgia frequently report that certain types of foods irritate their stomach or exacerbate their fibromyalgia symptoms. Dairy and gluten, among other foods, can worsen fibromyalgia. Many people have food intolerances which can be challenging to diagnose. Another common explanation for the digestion problems of patients with fibromyalgia involves the autonomic nervous system, which is in charge of regulating the structure and function of internal organs. �
This autonomic nervous system is made up of two subsystems: the sympathetic nervous system and the parasympathetic nervous system, which rarely work together simultaneously. In patients with fibromyalgia, the sympathetic nervous system, which is largely responsible for increasing blood pressure, heart rate and adrenaline, is almost always active, causes the parasympathetic system, which is largely responsible for relaxation and digestion, to become inactive. Fortunately, patients with fibromyalgia and its associated symptoms like sciatica and digestive problems, can find relief through treatment.
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Patients with fibromyalgia commonly experience widespread pain and discomfort, however, research studies have demonstrated a connection between other symptoms and health issues, such as sciatica and digestive problems. The purpose of the following article is to educate as well as discuss how fibromyalgia may be connected to other symptoms like sciatica and irritable bowel syndrome, among other digestive problems. By understanding how these symptoms and health issues are associated with fibromyalgia, patients and doctors can safely and effectively treat this painful condition and its symptoms. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Non-Invasive Treatments for Chronic Low Back Pain
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Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by a variety of symptoms. Many people with this painful condition also experience sciatica and digestive problems. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
� For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
The human body can absorb toxins in a variety of ways, from the type of foods we eat to the external and environmental factors we’re exposed to on a regular basis. Fortunately, the human body can also eliminate toxins in a variety of ways. Healthcare professionals have recognized that the accumulation of toxins in the human body can cause numerous health issues, including inflammation which may lead to back pain and sciatica. A good detox plan can help improve your overall health and wellness from the inside. Detoxing is also a fundamental process which can help relieve sciatica and back pain.
Back Pain and Sciatica
Back pain is one of the most common health issues reported among the general population. Although back pain affects approximately 80 percent of people at least once throughout their lifetime, sciatica continues to be one of the most frequently misunderstood health issues across the world. Also known as sciatic nerve pain, sciatica is characterized by irritation or inflammation due to the compression or impingement of the sciatic nerve, the longest and largest nerve in the human body. The sciatic nerve travels from the lower back, down the hips and buttocks, into the legs and feet. �
A variety of alternative treatment options, such as chiropractic care, can help safely and effectively treat sciatica symptoms without the side-effects of drugs and/or medications. Many healthcare professionals may recommend the use of drugs and/or medications to help offer sciatic nerve pain relief, however, these are only managing the symptoms rather than treating the health issue at the source. Research studies demonstrated that 76 percent of patients with sciatica reported complete relief of their symptoms without any toxic side-effects after following a detox plan for 45 days. �
Detox for Sciatica and Back Pain
For those people who may not be sure how or where to start with a detox plan, it’s fundamental for you to know that you can detox the human body on a variety of levels. First, you can start off with a simple foot detox. Healthcare professionals have demonstrated that a detox foot bath is a good way to cleanse the human body. Best known as the BioElectric Field Enhancement Unit, this helps generate positive and negative ions which creates the pH balance in the human body. As a result, the human body’s negative ions decrease while the human body’s positive ions increased to provide pain relief. �
To perform a detox foot bath, soak your feet for 30 minutes in warm salt water together with the foot coil. This process can help give muscles the strength and endurance they need to deal with back pain and sciatica symptoms. Moreover, a detox foot bath can also help eliminate free radicals which enhance range of motion. A detox foot bath also supports circulation. A good detox plan to help improve sciatica and back pain can also include following proper nutrition. Healthcare professionals can recommend a diet food plan which can help detox the human body from the inside with other treatment approaches. �
As previously mentioned, nutrition and lifestyle modifications below can help cleanse and detox the human body, including: �
Drinking more water, at least a minimum of two liters a day.
Drinking freshly squeezed juices without adding sugar, several times a day.
Replacing one meal with fresh smoothies, preferably breakfast.
Eating a healthy diet without processed foods, red meat, sugar, and dairy products.
According to healthcare professionals, it is a healthy practice to follow a detox plan once every 3 to 4 months. Do you remember when was the last time you had a detox? Or do you at least remember ever having a moment where you considered detoxification? Whether you followed a detox plan a few months ago, a year ago, several years ago, many years ago or simply never, it doesn�t matter. There is no better time then to start now. A detox plan cleanses the bloodstream, improves gut health, channels energy levels and strengthens muscles. Detox helps improve sciatica from its source. �
Sciatica is a collection of symptoms which can manifest due to a variety of underlying health issues. However, numerous research studies have demonstrated that following a detox plan can help tremendously reduce irritation and inflammation associated with sciatic nerve pain. Following a proper nutrition and lifestyle modifications together with a detox plan can ultimately help improve overall health and wellness, including sciatica and back pain. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Non-Invasive Treatments for Chronic Low Back Pain
Following a detox plan may help pain and inflammation associated with sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
Formulas for Methylation Support
�
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
� For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
� Sciatica, or sciatic nerve pain, is a collection of symptoms caused by the compression or impingement of the spinal cord and/or nerve roots, due to disk herniation, spinal health issues like osteoarthritis, spondylolisthesis, and spinal stenosis as well as intraspinal tumors and abscesses. Impingement or compression may typically occur along the spinal canal or intervertebral foramen. Health issues associated with the compression or impingement of the spinal cord and/or nerve roots may commonly occur in the lower back, pelvis, or buttocks. � �
Sciatica Symptoms
� The common symptoms of sciatic nerve pain include pain and discomfort which radiates along the lower back, down the buttocks and posterior aspect of the leg, into the knee and foot. The painful symptoms may affect one or both lower extremities and it may occur with or without low back pain. The pain and discomfort are described as burning, lancinating, or stabbing. Other common symptoms of sciatica include tingling sensations and numbness anywhere along the length of the sciatic nerve, particularly in the lower extremities. � Coughing or the Valsalva maneuver, a specific way of breathing which increases pressure in the chest, may worsen sciatic nerve pain symptoms. Moreover, the compression or impingement of the spinal cord and nerve roots can cause sensory, motor, or reflex deficits, among other health issues. Symptoms of sciatica may depend on which nerves are affected based on the segmental level of the spine. By way of instance, an L5 to S1 disk herniation may affect the ankle jerk reflex while an L3 to L4 disk herniation may affect the knee jerk reflex. �
Sciatica, or sciatic nerve pain, is a collection of symptoms rather than a single health issue, characterized by radiating pain, tingling sensations, and/or numbness which extends from the lower back and buttocks, down into the legs and feet. Sciatica is generally diagnosed through its symptoms and depending on the type of painful symptoms, a healthcare professional can safely and effective treat sciatic nerve pain. It’s important for patients to understand the symptoms of sciatica in order to continue with a diagnosis and follow-up with the appropriate treatment option. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
� Healthcare professionals have determined that straight leg raising may aggravate pain and discomfort which radiates down the length of the leg when gradually raised above 60 degrees or less. According to numerous research studies, this outcome measure is sensitive to sciatic nerve pain. Painful symptoms radiating down the affected leg when the contralateral leg is lifted, also known as crossed straight leg raising, is more common for sciatica. Furthermore, sciatica can ultimately be diagnosed through a series of tests and evaluations. � The straight leg raise test can be performed while patients are sitting with their hip joints flexed at 90 degrees. Then, their leg is carefully raised until the knee is fully extended. If the patient has sciatica, the painful symptoms will most often manifest as the leg is extended. The slump test can be performed like the straight leg raise test, but while the patient is slumping with the thoracic and lumbar spine flexed as well as the neck flexed. The slump test is more accurate but less specific, for disk herniation than the straight leg raise test. �
Sciatic Nerve Pain Diagnosis
� Sciatica is commonly diagnosed through its characteristic, painful symptoms. Once sciatic nerve pain is diagnosed, healthcare professionals should test a patient’s strength, sensations, and reflexes to determine any possible health issues. If painful symptoms persist for more than 6 weeks, or if there are neurologic deficits, imaging and electrodiagnostic studies should be performed. Structural and functional abnormalities which result in sciatica, such as spinal stenosis, can most accurately be diagnosed through MRI or CT scans. � Imaging and electrodiagnostic studies can help confirm the segmental level of the spinal cord and/or nerve root compression and/or impingement, which can exclude health issues that may mimic sciatica, such as polyneuropathy. These studies may help determine whether single or multiple regions of the spinal cord and/or nerve roots are being affected and whether the diagnosis correlates with MRI abnormalities. Abnormalities may not be obvious on imaging and electrodiagnostic studies for up to a few weeks after symptoms manifest. �
Sciatica Treatment
� Patients with sciatica, or sciatic nerve pain, can achieve relief from their painful symptoms through bed rest in a recumbent position with the head of the bed elevated about 30 degrees, also known as the semi-Fowler position. Treatment for low back pain can include nonopioid analgesics, such as NSAIDs and acetaminophen. Drugs and/or medications which decrease neuropathic pain, such as gabapentin or other anticonvulsants and low-dose tricyclic antidepressants, may also help relieve sciatic nerve pain, or sciatica, signs and symptoms. � Muscle spasm associated with low back pain or sciatica can be relieved through the utilization of heat or cold, physical therapy, and chiropractic care, among other alternative treatment options. Whether corticosteroids should be used to treat acute radicular pain remains controversial. Epidural corticosteroids can help achieve pain relief, however, these should not be utilized unless the patient’s painful symptoms are severe or persistent. Many healthcare professionals may utilize oral corticosteroids for these special occasions. � Surgery for sciatic nerve pain, or sciatica, is only recommended for cauda equina syndrome or for unequivocal disk herniation along with the presence of muscular weakness, progressive neurologic deficit and/or intolerable, intractable pain which interferes with regular physical activities in an emotionally stable patient which has not decreased after 6 weeks of conservative treatments. The standard procedure for sciatica caused by disk herniation is through classic diskectomy with a limited laminotomy. If the disk herniation is localized, a microdiscectomy may be performed, where the skin incision and laminotomy are smaller. Chemonucleolysis, which uses an intradiscal injection of chymopapain, is no longer utilized to help treat sciatic nerve pain. � Sciatica is a collection of symptoms caused by the compression or impingement of the spinal cord and/or nerve roots. Understanding the symptoms of sciatic nerve pain is essential towards obtaining a diagnosis in order to follow up with the best treatment. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions.
To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�.
Curated by Dr. Alex Jimenez
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief.
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Approximately 8 out of 10 people will experience sciatica or a sharp electrical surge that painfully runs through the back down to the foot. It can then lead to having numbness in different areas of the back, leg, and foot. Here are two such cases that describe their back pain and their inability to engage in activities. �
Truide discusses how her pregnancy caused her back pain.
Dionicio discusses how truck driving triggered his back pain.
These patients utilized chiropractic care with Dr. Alex Jimenez, DC and are now back on their feet, pain-free and ready to get on with their lives. The El Paso Back Clinic is the place to go for sciatica back pain relief.
El Paso Back Clinic
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You may be suffering from sciatica if you have ever experienced a shooting, nerve-like pain down one of your legs. The sciatic nerve can be impacted by a number of different things, including injury and degenerative diseases, that can lead to sciatica. Fortunately, chiropractic can be extremely effective for the treatment of sciatica.
What To Know
The sciatic nerve is a large nerve that travels from the lower back down both of the legs and into the feet. When pressure is placed on the nerve, such as from a herniated disc, it can lead to the symptoms commonly referred to as sciatica.
Shooting pain that travels down from the lower back and through the leg and calf
A feeling of electricity down one leg
Burning pain
Pain from a particular movement, or a jolt � like a sneeze
Numbness
Weakness
Severe symptoms can include trouble controlling the bowels and debilitating pain
Sciatica Causes
Causes of sciatica include:
Vertebrae Misaligned
Misaligned vertebrae, referred to as subluxations in chiropractic, can put pressure on nerves in the spine � including the sciatic nerve.
Herniation
The discs that cushion the vertebrae are made up of a tough outer layer and a softer inner layer. When the outer layer is damaged and the inner layer comes out into the spine, it is referred to as disc herniation.
Often the symptoms of a herniated disc include back pain, as the inner layer of the disc puts pressure on nerves in the spine. A herniated disc can impact the sciatic nerve, leading to sciatica.
Car Accidents
A car accident can easily damage the spine and soft tissues. An auto accident may cause a misalignment of the spine, a herniated disc, or other injuries that cause symptoms of sciatica.
Athletic Injuries
Even the fittest athletes are susceptible to back injuries, which in turn can cause sciatica. The spine and discs can be damaged due to a large impact, repetitive motion injuries, or even twisting the wrong way.
Job Injuries
Many sufferers of sciatica do not realize that their workplace activities � including repetitive motions and sitting in one position for long periods of time � can lead to sciatica.
How Chiropractic Can Help
A study cited by the health magazine Prevention found that sixty percent of sciatica sufferers who failed to get relief from other treatments found their symptoms improved after chiropractic care. In fact, they got the same level of relief as those who went through surgery � without any of the serious side effects that so often come with surgical procedures.
The spinal misalignments that are often the cause of sciatica can be corrected through careful chiropractic adjustments. The chiropractor analyzes the misalignment, then applies specific pressure to the spine to relieve the misalignment. Once the pressure is removed from the sciatic nerve, symptoms improve.
Spine Decompression
For those whose sciatica is caused by a herniated disc, spinal decompression can bring real relief. Using a specially designed table, the chiropractor can gently stretch the spine � creating space for the disc to heal and pull back from the sciatic nerve.
We Give Relief From Sciatica
Please contact our chiropractic team today to schedule an appointment if you are experiencing symptoms of sciatica. We are ready to help you feel better and get back on your feet again.
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