What is Sciatica?

Sciatica is a common condition characterised by pain that originates from the lower back and radiates down the legs. This pain occurs when the sciatic nerve, which extends from your lower back to your legs, becomes irritated or compressed. Symptoms of sciatica can include lower back pain, leg pain, numbness, tingling, and weakness.

Recent studies indicate that sciatica often results from conditions like a herniated disc or spinal stenosis (narrowing of the spinal canal). Fortunately, most cases improve with appropriate treatment, which may include physical therapy, exercise, and sometimes chiropractic care.

References:

Stochkendahl, M. J., et al. (2018). "National Clinical Guidelines for Non-Surgical Treatment of Patients with Recent-Onset Low Back Pain or Lumbar Radiculopathy." European Spine Journal, 27(1), 60-75.

What Causes Sciatica?

Sciatica is caused by pressure or irritation of the sciatic nerve. Common causes we see in clinic include:

• Herniated Disc: When the soft center of a spinal disc pushes out and presses on the nerve.

• Piriformis Syndrome: Piriformis muscle dysfunction compressing the sciatic nerve.

• Spinal Stenosis: Narrowing of the spinal canal.

• Poor Posture: Long periods of sitting in poor posture can lead to nerve irritation.

• Age-Related Changes: Degenerative changes in the spine over time.

Other contributing factors include disc injuries and improper body mechanics.

References:
Rodriguez, J., & Velasco, A. (2020). "Piriformis Syndrome as a Cause of Sciatica: A Review of the Literature." Pain Management, 10(5), 353-361.

Lewis, R. A., Williams, N. H., & Sutton, A. J. (2020). "Comparative Clinical-Effectiveness of Management Strategies for Sciatica: Systematic Review and Network Meta-Analyses." Spine Journal, 20(6), 892-903.

Typical Treatment Plan for Sciatica

Sciatica treatment plans are personalised based on individual needs. Treatment usually begins with conservative methods, including physical therapy modalities, manual therapy, and exercise. Most patients experience relief within a few sessions, though complete recovery can take time - ranging from a few weeks to 18 months. If there's no significant improvement after 3-4 treatments, further investigations may be needed.

Recent research supports a combination of therapies to effectively reduce sciatica pain and enhance function.

References:

Qaseem, A., et al. (2017). "Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians." Annals of Internal Medicine, 166(7), 514-530.

How Can Treatment Help with Sciatica Pain Relief?

Effective sciatica treatments include:

• Chiropractic Care: Spinal adjustments can alleviate pressure on the sciatic nerve and improve mobility.

• Manual Therapy: Exercises and stretches can strengthen supporting muscles, improve posture, and increase flexibility.

• Trigger Point Therapy: Targets muscle knots to reduce tension and nerve pressure.

• Education and Exercise: Proper movement techniques and regular exercise can prevent future flare-ups.

Research supports these therapies as part of a comprehensive plan to reduce pain and improve quality of life.

References:

Foster, N. E., et al. (2018). "Prevention and Treatment of Low Back Pain: Evidence, Challenges, and Promising Directions." The Lancet, 391(10137), 2368-2383.

Best Exercises for Sciatica Pain Relief

Tailored exercises can provide significant relief for sciatica. Consult with a healthcare professional to create a personalised exercise plan. Effective exercises include:

• Nerve Gliding Exercises: Gentle stretches to mobilize the sciatic nerve.

• Hamstring Stretches: Relieves pressure on the lower back.

• Pelvic Tilts: Strengthens lower back muscles and improves stability.

• Piriformis Stretches: Reduces nerve compression by stretching the piriformis muscle.

A customised exercise plan can greatly enhance recovery and prevent future issues.

References:

Oliveira, C. B., et al. (2020). "Clinical Practice Guidelines for the Management of Non-specific Low Back Pain in Primary Care: An Updated Overview." European Spine Journal, 29(4), 792-803.

Assessment and Treatment of Sciatica

Proper assessment of sciatica involves reviewing your medical history, conducting a physical exam, and possibly using diagnostic imaging like X-rays or MRI scans. Sciatica is a symptom of an underlying spinal issue, often involving nerve compression at the L4, L5, or S1 levels.

Treatment focuses on relieving nerve pressure and addressing the underlying spinal problem. A comprehensive approach can provide long-term relief from sciatica by targeting root causes and using effective therapies.

References:

Oliveira, C. B., et al. (2018). "Clinical Practice Guidelines for the Management of Non-Specific Low Back Pain in Primary Care: An Updated Overview." European Spine Journal, 27(11), 2791-2803.

How Can We Help Your Sciatica?

At our clinic, we are dedicated to providing comprehensive care to help you find relief from your MSK pain and discomfort. Our approach to treatment is tailored to meet your individual health needs and includes a combination of Chiropractic Treatment, Exercise Therapy, Myofascial Therapy, Dry Needling and Patient Education (NRE).

What If We Cannot Help Your Sciatica?

While we strive to deliver the best possible outcomes utilising our specialist services, we understand that some cases may require additional intervention. If your condition does not improve as expected or if we believe that another approach might be more appropriate, we can:

• Refer You to Your GP: We will coordinate with your General Practitioner to ensure you receive the appropriate medical evaluation and care.

• Recommend Diagnostic Imaging: If necessary, we may suggest diagnostic imaging, such as X-rays or MRI scans, to get a clearer understanding of your condition and inform the next steps in your treatment.

• Refer You to a Specialist: In cases where specialised care is needed, we will refer you to a trusted specialist to ensure you receive the most effective treatment.

Our commitment is to your health and well-being, and we will guide you every step of the way to ensure you receive the care that’s right for you.