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Ischias: Sciatic Nerve or Sciatica

On average, symptoms will only happen on one side of the body. This is a very common form of back pain, however the term sciatica actually applies to a set of symptoms rather than the diagnosis of what is irritating the nerve.


Causes The cause of sciatica is generally the compression of the lumbar spine nerve root L4 or L5, or compression of the sciatic nerve itself, which is far less common.


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 As well, by visiting a chiropractor, an individual can ensure they do not do further damage to their spine due to a lack of treatment. Ont i ryggen Ischias

Sciatica exercises come in many different forms, but the last thing you need when you're in pain is to have to learn a complicated exercise routine. But using exercise to alleviate sciatica doesn't have to be difficult. Getting relief can be as simple as doing just one exercise and doing it frequently until such time as the pain is gone or at least much improved.

As well, by visiting a chiropractor, an individual can ensure they do not do further damage to their spine due to a lack of treatment. Ont i ryggen Ischias

For piriformis syndrome, you can do a simple stretch of the piriformis muscle. I recommend you do this by lying on your back, pulling your knee on the painful side toward the same side shoulder for a few seconds, then partially releasing the leg and then pulling your knee toward the opposite shoulder. Hold this stretch for about 10 seconds at a time, then carefully release your leg for a a few seconds before repeating the stretch.

The second test is to bend your leg to pull the knee toward your chest. Begin by first bringing the knee on the painful side toward the shoulder on the same side. Then release the leg slightly and pull the knee toward the opposite shoulder. If pulling the knee toward the opposite shoulder increases the pain significantly more than pulling it toward the same side shoulder, chance are you have piriformis syndrome. It should be noted that it is possible to have both true sciatica and piriformis syndrome at the same time.

About the Author:

Dr. Kristofer Eklund Mon-Sat 07.00 - 21.00 Tel. 031- 208 208 Mobil: 0707 - 38 19 73 Receptionen ??r bemannad: Mon-Fri 10.00 - 18.00 Lor 11.00 - 15.00 Adress: Linneg 61, 413 08 Goteborg, www.KiropraktorGoteborg.se, KiropraktikGoteborg@hotmail.com PlusGiro: 155 85 95-3

Conclusion One of the most painful spinal injuries can be to the sciatic nerve. The nerve can be compressed, or pinched, resulting in a great deal of pain to anyone who suffers from it. The pain can affect the lower half of one side of a person's body, making them immobile.

About the Author:

Dr. Kristofer Eklund Mon-Sat 07.00 - 21.00 Tel. 031- 208 208 Mobil: 0707 - 38 19 73 Receptionen ??r bemannad: Mon-Fri 10.00 - 18.00 Lor 11.00 - 15.00 Adress: Linneg 61, 413 08 Goteborg, www.KiropraktorGoteborg.se, KiropraktikGoteborg@hotmail.com PlusGiro: 155 85 95-3

Piriformis Syndrome is another cause of sciatic symptoms. However, this only occurs in 15 percent of the population who have the sciatic nerve running through the piriformis rather than beneath it. In case of trauma, the muscle shortens and is compresses the sciatic nerve under the muscle. Unhealthy posture and excess time in chairs or sleeping in the fetal position, along with no stretching or exercise can cause sciatic irritation and pain as well. Another common cause of pain in the sciatic nerve is pregnancy, usually occurring late when the uterus is pressing on the sciatic nerve, as well as due to muscle tension caused by the weight of the fetus.

An easy method to help you determine what the problem is can be done by doing a couple of tests while sitting in a firm chair. In the sitting position, try straightening your knee on the painful side, so that your leg is parallel to the floor. If this increases your symptoms, chances are you have true sciatica related to a disc problem.

As long as the symptoms are decreasing furthest from the spine, the exercise described is beneficial, even if the symptoms closer to the spine seem to increase at first (they'll usually improve with repetition of the exercise over time). I suggest you remain in this position for a couple of minutes and then take a break by either just lying flat, or by getting up and walking for at least a few minutes in between the exercise repetitions in order to avoid developing a lot of tightness in the low back muscles.

Treatment One of the best ways to treat sciatic nerve problems is through the use of a chiropractor or osteopath. By seeing professionals who specialize in

The second mistake sciatica sufferers often make is returning to normal activities too quickly once symptoms improve. The vast majority of true sciatica cases are due to bulging or herniation of one or more discs in the lumbar spine, and the inflammation that typically is associated with such disc problems. In many cases, slight improvements in inflammation can result in dramatic symptom improvement. Many sciatica victims mistakenly believe they are back to normal as soon as they feel better, but the reality is that the bulging/herniated disc is far from fully healed, and too much exertion too soon can easily trigger a recurrence of symptoms - sometimes even more severe than they were to begin with. Even professional physical therapists sometimes make the mistake of pushing a patient to do too much too soon, with the result being a return or increase in sciatica symptoms.

For true sciatica, most people will find relief through the basic McKenzie extension exercise (named for physical thearapist Robin McKenzie). This exercise is performed by lying face down on a firm surface and then propping yourself up on your elbows, creating an increase in the curve of the lower back. Getting into this position may be painful at first, but within about 30 seconds, most people will notice a decrease in the severity or the range of the sciatica, or both. A positive sign is when the symptoms furthest from the spine decrease.

However, by visiting a professional chiropractor for chiropractic treatment, an individual can eliminate the pain in the sciatic nerve and begin walking proud and tall again. There is no reason to suffer with pain that an individual can eliminate with a short visit to a chiropractor or osteopath.

The first mistake is rushing into a surgery. Although the vast majority of surgeons are not anxious to perform surgery on sciatica cases, there are a few who do recommend surgical treatment right from the start, and without even attempting any other type of treatment. Sciatica resolves in approximately 80% of cases without surgery. Even when surgery is successful initially, the development of scar tissue and abnormal mechanical stresses on the spine adjacent to the surgery often lead to future problems. Given that low back spine surgery overall has about a 50% long-term success rate and people treated surgically often wind up worse than they were prior to surgery, it should be reserved as a treatment of last resort.

Whether you need the McKenzie extension exercise, or the piriformis stretch, or both, the sciatica exercises work best when repeated frequently - up to several times per day while you are having signficant symptoms.

Because of pain and a lack of understanding of their condition, sciatica sufferers may make some costly long-term mistakes when it comes to handling their problem.

Conclusion One of the most painful spinal injuries can be to the sciatic nerve. The nerve can be compressed, or pinched, resulting in a great deal of pain to anyone who suffers from it. The pain can affect the lower half of one side of a person's body, making them immobile.

 
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About the Author:

Dr. George Best has been treating people with sciatica and piriformis syndrome since 1992. To receive a free ebook on Sciatica Exercises and a video information program on understanding and managing sciatica, visit his website at http://www.sciaticaselfcare.com .

In the case of disc herniation, sciatica can occur due to the pressing down on one of the sciatic nerve roots. Spinal Stenosis can also be a cause of sciatica because of the narrowing of the spinal canal, where the spinal cord runs, and compression of the spinal cord. This can be caused by herniated discs, bone spurs and vertebral dislocation, which then pinches the spinal cord that travels to the sciatic nerve and irritating it with friction.

The third mistake people, including doctors, often make regarding sciatica is to view it as a condition that can be "cured". Because most people continue to engage in the activities that caused the underlying disc problems to develop that produced sciatica in the first place, the vast majority of sciatica sufferers will experience repeated episodes, usually becoming more severe and more frequent over time. This is due to the fact that the disc issues that initially produce the sciatica tend to grow worse over time if they are not managed appropriately. Once again, it is not safe to assume that a resolution of symptoms means that the problem has gone away. In fact, what happens in many cases is that the spine and discs gradually degenerate over time, making the person more and more susceptible to sciatica episodes. Eventually, the degeneration can become so severe that there really is no effective treatment, and many people are left with chronic, debilitating pain.

Causes The cause of sciatica is generally the compression of the lumbar spine nerve root L4 or L5, or compression of the sciatic nerve itself, which is far less common.

Treatment One of the best ways to treat sciatic nerve problems is through the use of a chiropractor or osteopath. By seeing professionals who specialize in

repairing the spine, a patient will benefit greatly due to chiropractic treatments that are meant to fix problems of the spine. While bed rest and staying off the back is one of the best things you can do, in terms of problems with the sciatic nerve, it is better to be safe than sorry, so those who suffer with pain should see a chiropractor.

Piriformis Syndrome is another cause of sciatic symptoms. However, this only occurs in 15 percent of the population who have the sciatic nerve running through the piriformis rather than beneath it. In case of trauma, the muscle shortens and is compresses the sciatic nerve under the muscle. Unhealthy posture and excess time in chairs or sleeping in the fetal position, along with no stretching or exercise can cause sciatic irritation and pain as well. Another common cause of pain in the sciatic nerve is pregnancy, usually occurring late when the uterus is pressing on the sciatic nerve, as well as due to muscle tension caused by the weight of the fetus.

repairing the spine, a patient will benefit greatly due to chiropractic treatments that are meant to fix problems of the spine. While bed rest and staying off the back is one of the best things you can do, in terms of problems with the sciatic nerve, it is better to be safe than sorry, so those who suffer with pain should see a chiropractor.

When the symptoms have subsided, it is extremely important to learn what sciatica exercises you can do to prevent the symptoms from returning in the future. Don't be fooled! Just because the symptoms go away, it doesn't mean that everything is back to normal. All too often, sciatica sufferers go from one episode of pain to the next, with episodes becoming more severe and more frequent over time, because they fail to manage the problem correctly so you can avoid the common problem of developing chronic pain and disability.

The exception to the rule of considering surgery as a last resort is in the rare case of severe neurological compromise known as "cauda equina syndrome", which may be indicated by a loss of bowel and/or bladder control, sudden severe weakness in one or both legs, and/or "saddle anaesthesia" (a loss of sensation in the lower buttocks and inner thighs). Except in the rare instance of cauda equina syndrome though, it is generally better to avoid surgery if possible.

Once you determine whether you have true sciatica or piriformis syndrome, or both, you can usually get considerable relief from just a single exercise for either condition (two exercises if you have both).

However, by visiting a professional chiropractor for chiropractic treatment, an individual can eliminate the pain in the sciatic nerve and begin walking proud and tall again. There is no reason to suffer with pain that an individual can eliminate with a short visit to a chiropractor or osteopath.

In the case of disc herniation, sciatica can occur due to the pressing down on one of the sciatic nerve roots. Spinal Stenosis can also be a cause of sciatica because of the narrowing of the spinal canal, where the spinal cord runs, and compression of the spinal cord. This can be caused by herniated discs, bone spurs and vertebral dislocation, which then pinches the spinal cord that travels to the sciatic nerve and irritating it with friction.

To figure out what exercise will be of most benefit, it is important to try to distinguish whether you have sciatica from a lumbar disc bulge /herniation, or whether you have a condition called "piriformis syndrome", which produces symptoms very similar to disc-related sciatica but is caused by contraction of the piriformis muscle in the buttock area.

On average, symptoms will only happen on one side of the body. This is a very common form of back pain, however the term sciatica actually applies to a set of symptoms rather than the diagnosis of what is irritating the nerve.

Fortunately, in most cases, sciatica can be managed effectively simply through an awareness of potentially damaging activities and positions and through simple exercises one can do at home. Long-term pain and disability are avoidable, if one makes the necessary effort to perform the necessary exercise regimen on a regular schedule and to avoid movements, activities, and postions that can be damaging to the discs of the spine, such as incorrect bending and lifting, and poor posture (especially sitting posture). Long-term problems can be avoided by putting forth just a small amount of effort to manage sciatica on an ongoing basis over time.

About the Author:

Dr. George Best has been treating patients with sciatica and piriformis syndrome in his San Antonio, Texas practice since 1992. To access his free E-book and his free video course on understanding and treating sciatica, go to http://www.sciaticaselfcare.com.


Anna R. Guidry

 
 
     
 
 





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