pain in sciatic area - Sciatica Treatments That Really Help
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Sciatica Treatments That Really Help

Sciatica occurs due to the compression at the base of the spine. This compression leads to pain in the lower back and gluetal region of the body. This pain travels to ankle, calf, thighs and knee. Real Sciatica happens when the pain reaches the knees and the ankles. Sciatica actually is the pain that moves through the sciatic nerve - the longest nerve in your body. This nerve starts from your spinal cord to your hips and down to the leg. The pain therefore moves along this nerve and the parts of body it connects. Sciatica actually may not be problem in itself. It may have other inherent causes which are connected to the sciatic nerve like herniated disk.


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Piriformis syndrome is a condition in which the piriformis muscle irritates the sciatic nerve. The piriformis muscle is a small muscle behind the gluteus maximus. Piriformis syndrome is most common among women, runners and walkers.

Dealing with the pain - this is the course of action that most people decide to take. "I'll just deal with it." When the alternatives are surgery and stretching exercises which don't really seem to work, and in fact make the pain worse sometimes, it doesn't leave a person living with sciatic pain with much hope.

Ask anyone living with sciatic pain what that means and you'll receive different answers. For some it means a few days each year with some mild discomfort, for others it means a life of chronic and often excruciating pain.

Sciatica usually comes on quickly after an aggravating activity or posture, along with some back pain but this can go off when the leg pain starts. Sciatica is worsened by sneezing, sitting and coughing and is better lying down or standing. The pain is in the buttock and either down the back of the leg or the side and down into the foot. In 5% of cases the affected nerves are the first, second or third lumbar, which give front of thigh pain not beyond the knee. The full picture may sometimes not be present, with individuals describing discrete areas of pain such as the foot only.

Modified behaviors - you can't do the things you used to do and you just have to live with it. Not such a nice way to live is it? When you used to run, walk the dog or swing from a trapeze now you can only sit on the couch and knit and even that helps.

Spinal stenosis is the name given to the narrowing of the nerve channel (vertebral canal) of the spine. This narrowing causes compression of either the spinal cord within the vertebral canal, or the nerve roots that exit the spinal cord. People with spinal stenosis experience sciatic pain symptoms in the legs and feet. It usually results from degenerative arthritis causing a narrowing of the spaces in the vertebral canal. Manual workers are more prone to developing symptoms of spinal stenosis but it seldom affects people under 30 years of age - unless it is due to traumatic injury to the vertebrae.

Sciatica can reduce your mobility and normal daily activities considerably. The duration of the pain varies according to the inherent cause and may subside in 4-8 weeks time. However, there is no need to loose hope. There are many sciatica treatments both clinical and home based which can help cure and manage sciatica and reduce pain.

Medicines The pain can be treated with anti inflammatory non steroidal dugs combined with drugs that relax muscles. Anticonvulsant drugs and Tricyclic antidepressants are also prescribed to reduce pain. These drugs work in two ways - by blocking the sensations in reaching your brain - and by producing endorphins that naturally help reduce pain.

Since getting mobile and becoming flexible is extremely important you might require some pain management to help you get going. For mild cases of sciatica your doctor may start off by recommending non prescription medications like aspirin, ibuprofen, or naproxen, known as non steroidal anti-inflammatory drugs, or NSAIDs. A downside of these drugs is that they may cause stomach upsets or bleeding.

A thorough history performed by the physio will uncover any red flags, an indication of a possibly serious underlying medical condition responsible for the pain. Loss of weight or appetite, severe pain at night, a history of cancer, unwellness or fever, bowel or bladder control difficulties, young or older patients, all these things ring warning bells and the physio will refer the patient on to a medical specialist for evaluation. The location, nature and response to activities and postures of the pain will be noted by the physiotherapist.

It is also important to maintain a reasonable body weight, ensure you have a good posture, sleep on a mattress that is neither too soft nor too hard, be careful when bending or lifting heavy weights.

- Shooting pain in your low back or hip - Numbness in your leg, hip or buttocks - Burning sensation in your leg, hip or buttocks Then living with sciatic pain isn't an option. It can keep you up at night and forget sitting still at a movie theater or enjoying a meal at the table with your family. Often not moving makes the pain worse so people suffering from sciatic pain are constantly needing to get up and move around.

Sciatica Treatment At Home There are many home based sciatica treatment too. Some of them are very effective in curing your sciatica pain quickly. For example ice treatment is very effective in controlling sciatica pain if it is used with in 48 hours of the onset of pain. Movement is also a good option in reducing pain. Doing exercises that stretch piriformis muscles are helpful in controlling sciatica pain. Balancing your pelvis region properly also helps in controlling pain. You can do this by lying down on the bed to check whether the balance is properly distributed on both sides.

If your pain is not relieved by analgesics or NSAIDs, your doctor might prescribe narcotic analgesics (such as codeine) for a short time. Side effects of these include nausea, constipation, dizziness and drowsiness, and continued use may result in dependency.

Physiotherapists use a variety of therapies to treat sciatica, with McKenzie technique being a mainstream technique for discogenic pains. Mobilisation and manipulation techniques, core stability work, myofascial release, specific exercises, manual techniques, soft tissue work and massage, analgesia, patient education, rest, the best position to relieve extreme sciatica pain and advice are all used as treatments. Most sufferers settle without investigation or surgery and a long term exercise programme is useful once the problem has settled.

Disc prolapse can result in the internal nuclear material being extruded past the outer disc wall, physically compressing the nerve root which runs nearby. The nuclear material is also chemically irritating to the nerve structure and these irritants make the nerve and nearby structures swell, partly blocking the local circulation and the nerve's message transmission. Disc prolapse is typically the cause of proper sciatica but the size of the prolapse is not closely related to the amount of pain the person suffers.

The spine is made up of a series of connected bones called "vertebrae." Spondylolisthesis or isthmic spondylolisthesis occurs when a cracked vertebra slips over the vertebra below it. Poor posture and curvature of the back or weak abdominal muscles can contribute to this slippage, which can press on the nerve. The presence of this spondylolysis usually does not represent a dangerous condition in the adult and most treatments concentrate on pain relief and increasing the patient's ability to function.

Alternative Sciatica Treatment Many alternative sciatica treatments like yoga, acupuncture, acu-pressure and biofeedback therapy also exist. These alternative treatments are very effective in curing your sciatica problem.

Other medications like Corticosteroids taken orally or by injection are sometimes prescribed for more severe back and leg pain because of their very powerful anti-inflammatory effect. Corticosteroids also have side effects and the pros and cons of taking them should be fully discussed with your doctor.

There is a fairly new procedure called IDET which stands for Iintro Discal Electrothermy). When a disc is herniated the water content of the inflamed disc causes it to bulge and press against the nerve. IDET dries up the disc very quickly, in less than 20 minutes, a process which might take weeks or months if left to dry up naturally

The great forces which we impose on the low back mean the lumbar intervertebral discs suffer structural changes and prolapses. Many activities involve a significant level of leverage, such as flexing over, performing movements in an upright position and lifting with the arms away from the body. This greatly magnifies the forces on the discs and due to their fluid mechanics they suffer 3-5 times the loads on the skeleton. This can cause the disc walls to degenerate, giving weak areas and predisposing to prolapse at some time.

Sciatica is usually caused by a prolapsed or 'slipped' disc bulging and pressing on to a nerve. It doesn't usually cause permanent nerve damage since the spinal cord is not present in the lower part of the spine and a prolapsed or herniated disc in this area does not pose a risk of paralysis.

The cause The most common cause of sciatica is a prolapsed (slipped) disc, pinched nerves or some form of arthritis. It usually starts with back pain which sometimes improves only to be followed by hamstring or calf pain. It may also include numbness in the toes depending on which branch of the sciatic nerve is irritated.

Exercise After the reduction in pain, doctors suggest exercises and physiotherapy to avoid the recurrence of the problem. These exercises are mainly aimed at improving your mobility, rectifying your posture and in making the muscles around your lower back strong.

There are many different treatments for sciatica and it is important to discuss these with your health practitioner. Accurate diagnosis to determine the exact cause of sciatic pain is also equally important. The most conclusive diagnosis is usually gained by a having an MRI scan. However having said that skilled medical practitioners, and I include Osteopaths and Chiropractors, are often able to determine the suspected cause by carrying out a physical examination

 
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The Cure Some cases of sciatica which result from inflammation get better with time and heal themselves perhaps within six weeks to three months.

What it is Sciatica is the name people give to a pain in the buttock, leg or foot brought on as a direct result of some form of irritation to the sciatic nerve. The sciatic nerve is the longest nerve in the body. It runs all the way from the lower back splitting at the base of the spine and terminating in the foot.

About the Author: Jesse Cannone Recognized as one of the top fitness trainers and natural health experts in the United States, Jesse Cannone has been helping people live healthier lives for more than a decade. He is an amazing example of how far passion, drive and determination can take you.

Recent studies have shown that bed rest is not necessarily the best way to treat sciatica. It is better to remain active, starting off with some gentle stretching and exercise. Swimming is particularly useful, as it is not a weight bearing exercise. The good news is that herniated spinal discs usually do heal on their own, given time.

Having personally worked with hundreds of clients, Jesse has developed a no-nonsense approach to fitness and wellness that has helped people all over the world weed through all the weight-loss and fitness hype to discover what really works.

Variations of sciatic pain Living with sciatic pain may be fine if you have mild symptoms like occasional tingling or a dull ache down one leg however if you have more severe symptoms like:

If you or someone you know has been living with sciatic pain, stop. Take action. You don't have to rely on doctors and therapists who only know to treat the symptoms. Find balance and stop your sciatica pain today. Start with simple sciatica stretch and continue to learn more about the condition and how to treat it

For the majority Living With Sciatic Pain often means: A life of pain relievers - anti-inflammatory medications, over the counter pain medications and prescription pain medications are not meant to be taken on a continuous basis and often cause more harm than good. Ulcer, IBS and other complications can arise from too many pain relievers.

Physiotherapy Treatment of Sciatica by Jonathan Blood Smyth Sciatica results from a structure impinging on a lumbar nerve root, causing compression and/or inflammation enough to cause neurological changes in the skin, reflexes and muscles served by the affected nerve. Not a common syndrome, it is estimated that 3-5% of the population suffer this kind of problem at some time. It affects men and women equally with men most susceptible in their forties and women in their fifties.?? Up to a quarter have symptoms which last more than six weeks and referral to physiotherapists for acute management is routine.

Sciatic pain is usually nerve related and responds well to treatment with low doses of tricyclic anti-depressant drugs like amitriptyline, dothiepin, nortriptyline, lofepramine, desipramine, clomipramine or imipramine combined with acupuncture or the use of TENs machines. The low dosage of the tricyclic drug acts by closing "a pain gate" blocking the message to the brain.

The physiotherapist begins with postural observation of the patient which can show an inability to stand up or a thoracic shift to one side. Spinal movements are performed and the pattern of movement limitation noted, with a full neurological examination of the lower limbs. The physio is looking for deficits in muscle power, reflexes or feeling which are related to the specific nerve root involved. The straight leg raise may be performed to check the stretch reaction of the spinal nerve.

Rather than live with sciatic pain, consider seeking a therapist which can diagnose the cause of your sciatica and treat your whole body rather than the symptom. A well balanced and structured muscle system will provide your body the support it needs. Balanced muscles mean your body has the ability to compensate when you push it hard, make an unusual movement or are injured.

Most people would have been content with being a highly successful personal trainer and post-rehabilitation specialist with a thriving fitness business in the Greater Washington, D.C., area. But when Jesse saw that so many of the clients who came to him were suffering with lower back pain and sciatica, he made a decision that would not only change his life but the lives of millions of others - from Atlanta, Georgia, all the way to Queensland, Australia.

About the Author:

Jonathan Blood Smyth is a Superintendent Physiotherapist at an NHS hospital in the South-West of the UK. He specialises in orthopaedic conditions and looking after joint replacements as well as managing chronic pain. Visit the website he edits if you are looking for physiotherapists in Manchester.

Other treatments to manage sciatica include traction; manipulation by a skilled osteopath, physio therapist or chiropractor; Chemonucleolysis (injection of a special enzyme into the disk).

The McKenzie technique works on pain centralisation, the tendency for pain to move towards the back from the legs, suggesting a disc problem, and many physios use this technique. Pain in the front of the thigh and over the knee can be referred from the hip joint, so the physiotherapist will assess the lower limb joints to check the diagnosis. A thorough examination informs the physiotherapist of the likely diagnosis and how they might treat the syndrome, or that the patient needs to be referred to a medical practitioner for a consultation and investigation.

Surgery Surgery also brings relief to patients. Surgery is performed when the pain does not subside even after rest, medications or other forms of treatment and the nerve compression leads to other problems like extreme weakness and bladder incontinence etc

These sciatica treatments can help in curing and reducing your sciatica pain.

About the Author:

For more info on sciatica treatment head to: http://www.sciaticatreatment.org today!

The decision was to focus all his attention on helping the millions of people who struggle with back pain, neck pain and sciatica. Then, with the help of massage therapist Steve Hefferon and a hand-picked board of medical advisors, he created the world's first self-assessment and self-treatment program for back pain and sciatica sufferers. The system, which is called Lose The Back Pain??, has proven extremely effective and over 35,000 copies have already been sold in 85 countries.

The discs which cushion the vertebrae in the lower back become progressively thinner and harder as we get older. This stresses the lower back and often causes a variety of lower back pain disorders, including sciatica.

Click here to learn more about back pain and sciatica

As a last resort you may consider surgery to remove fragments of the prolapsed disc are then removed. As I mentioned earlier it is important to stay active and continue with an exercise and stretching program. Especially do exercises to develop your back and stomach muscles. This will help stabilize your spine and support your body.

Steroid Based Treatments Sometimes, the doctors also prescribe epidural or corticosteroid steroid injections to help reduce inflammation in the effected areas.

In extreme cases spinal injections of corticosteroid into the epidural space (the area around the spinal nerves) or facet joint (between vertebrae) may be given. This is usually carried out by a specialist with follow up injections at a later date.

This information in this article should not be used to diagnose, treat, or prevent any disease. You should always consult with your health care professional especially relating to the suitability of supplements or drugs and on all health matters that may require diagnosis or medical attention. If you suffer from progressive weakness in the leg or bladder or bowel incontinence this constitutes a medical emergency and you should seek immediate medical attention - you may have cauda equina syndrome a serious condition due to compression of the nerve roots in the lower end of the spinal canal.

Stretching and exercising are a must if you really want to progress along the road to rehabilitation and if you are in extreme pain this is probably the last thing you will contemplate doing.

If pain relievers aren't an option, surgery, steroids, and basic stretches aren't an option and just don't seem to work anyway, what is a sciatica sufferer supposed to do?

Common Sciatica Treatments Bed Rest The most common sciatica treatment suggested by doctors is bed rest. It helps in relieving pain. However, only taking bed rest is not going to solve the problem fully. You should combine rest with physical activity that is enough to keep you active without aggravating the pain.

Bill Morrison has his own website http://www.help4urback.com where he describes his own personal experiences coping with lower back pain and sciatica. He also includes personal recommendations for people who suffer from sciatica or lower back pain including what books to buy, TENs machines, and what web sites to check out.


 
 
     
 
 





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People who suffer from sciatica will often feel pain in their leg which can travel from the back of their thigh up to the thigh and in some cases up to the hip or down towards the foot. For some people not only will they feel pain but they may find that their leg become numb and they will have problems in trying to either move or control their leg. However there are ways in which...


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Physiotherapy Treatment of Sciatica by Jonathan Blood Smyth Sciatica results from a structure impinging on a lumbar nerve root, causing compression and/or inflammation enough to cause neurological changes in the skin, reflexes and muscles served by the affected nerve. Not a common syndrome, it is estimated that 3-5% of the population suffer this kind of problem at some time. It affects men...


People who suffer from sciatica will often feel pain in their leg which can travel from the back of their thigh up to the thigh and in some cases up to the hip or down towards the foot. For some people not only will they feel pain but they may find that their leg become numb and they will have problems in trying to either move or control their leg. However there are ways in which...


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