Sciatica is a common condition that affects millions of people worldwide and here in Australia it is suspected to be responsible for 11,000 clinical visits per month, but what is it and what can be done about it?
It is a type of pain that occurs along the sciatic nerve, the largest nerve in the body. The sciatic nerve runs from the lower back down to the legs, and when it becomes irritated or compressed, it can cause a range of symptoms that can be debilitating.
What is Sciatica?
The pain can range from mild to severe and can be described as a burning, shooting, or stabbing sensation. Sciatica is not a medical condition in itself, but rather a symptom of an underlying problem higher up the nerve pathway, such as a herniated disk or spinal stenosis.
Causes of Sciatica
Sciatica can be caused by a variety of factors, including:
- Herniated Disk: This occurs when a disk in the spine bulges or ruptures, putting pressure on the sciatic nerve.
- Spinal Canal Stenosis: This is a narrowing of the spinal canal, which can put pressure on the sciatic nerve.
- Degenerative Disc Disease: This occurs when the discs between the vertebrae in the spine break down, leading to inflammation and pressure on the sciatic nerve.
- Piriformis Syndrome: This is a condition in which the piriformis muscle, which is located in the buttocks, compresses the sciatic nerve as it exits near or through this muscle.
- Spondylolisthesis: This is a condition in which one vertebra slips on another vertebra, causing pressure on the sciatic nerve.
Symptoms of Sciatica
The most common symptom of sciatica is pain that radiates from the lower back down to the legs. The pain can be severe and may feel like an electric shock or burning sensation. Other symptoms include:
- Numbness or tingling in the legs or feet
- Weakness in the legs
- Difficulty standing or sitting
- Pain that worsens with movement
- Loss of bladder or bowel control (in severe cases)
Treatment of Sciatica
There are a multitude of evidence-based treatment options for sciatica, depending on the severity of the condition and the individual factors associated with each case. We personally assess the movement patterns of your spine, look for areas of restriction and potential areas of muscular weakness. Once a detailed examination has taken place, we can then tailor a treatment plan aimed at addressing the relevant deficits. This might include massage to reduce muscle spasm and possibly a strengthening regime targeting the deeper core muscles.
In severe cases, a doctor from our trusted network may become involved, to consider a cortisone injection to relieve pressure around the nerve. In severe cases, surgery may be warranted to remove any compressing disc material or create more room around the nerve itself.
Despite the potential implications, the majority of sciatica is successfully treated right here in our rooms and our aim is to get you back doing what you love as soon as possible.
If you need any help with your sciatica, our team of Osteopaths, Physiotherapists and Massage team all work together to ensure you get the best outcome. Book online or call us to get relief.
