sciatic nerve neuropathy info - Is Spinal Stenosis the Source of Your Sciatica Pain?
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Is Spinal Stenosis the Source of Your Sciatica Pain?

What is Spinal Stenosis? Spinal stenosis is a medical condition where the spinal canal becomes narrow. This narrowing can put additional pressure and compression on the spinal cord and can cause a pinching of the nerve roots. If the narrowing is in the lower part of spinal cord it is referred to as lumbar spinal stenosis and if the narrowing is in the upper part of the spinal cord then it is referred to as cervical spinal stenosis. While stenosis can also occur in the thoracic or upper back region, the lumbar and cervical areas are the most common.


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How is Sciatica caused? Pseudo Sciatica is caused by a tightening of the Piriformis muscle on the Sciatic nerve. The nerve passes under the Piriformis muscle and in some cases it passes right through the muscle tissue. Exercise, pregnancy, weight gain and posture can create a tight Piriformis muscle.

But since the most effective treatment for the two conditions varies signficantly, it is important to determine the correct diagnosis if at all possible. In most cases there is an easy way to distinguish between sciatica and piriformis syndrome.

Today, you may not have to live with that pain anymore. We at THE KERALA AYURVEDIC CARE, SCIATICA & SPINAL RESEARCH INSTITUTE, Basheerbagh, Hyderabad have successfully Treated Lower Back Pain resulting from herniated, bulging, or degenerative discs. Our Meru Chikitsa (Ayurveda Neuro Therapy) enables patients to return to more active lifestyles.

We are dedicated to improving the health and function of our patients by combining Traditional Ayurveda Panchakarma Chikitsa with modern technology to deliver an unprecedented level of service. Till to date we have treated more than 33000 patients with Spinal conditions like: ????

Treating Spinal Stenosis In general doctors tend to take a conservative approach when initially treating spinal stenosis. Drug therapy such as pain relievers and anti-inflammatory medications to reduce swelling are usually prescribed first, along with bed rest and reduced physical activity. Steroid injections can also be use to help reduce swelling although the pain relief is normally temporary. Traction and spinal decompression may be prescribed, along with physical therapy which can be used to help increase flexibility as well as build endurance.

Who Can Get Spinal Stenosis? Although some people are born with spinal stenosis, the condition is usually seen in people over the age of 50 who already have some disc degeneration. Often, spinal stenosis results from the wearing down on the spine from normal activities. As we get older, our spinal ligaments can calcify, bone spurs may form, and we can get herniated or ruptured discs. All these conditions can lead to a narrowing of the spinal canal which can compress and pinch the spinal nerves.

In some cases, piriformis syndrome may cause true sciatic nerve irritation, as the sciatic nerve may run underneath or even through the middle of the piriformis, so contraction of the piriformis may produce sufficient compression of the sciatic nerve to produce actual nerve symptoms. This is one of the main sources of confusion when it comes to distinguishing true sciatica from piriformis syndrome.

In the past, a patient suffering from Disc problems may have been prescribed Pain killers / Medications, Instructed to refrain from physical activities, referred for Physiotherapy, received Steroidal Shots or Injections, and when they weren't progressing, they were sent for Spinal Surgery. Frankly speaking only 5% of Back pains require Surgeries, the other 95% can be dealt with Conservative & Curative Ayurveda Panchakarma Chikitsa.

How to Treat Sciatica Pseudo Sciatica is easily treated?????? by massage therapy. Usually in one treatment you will notice a dramatic improvement in your symptoms. Some home care exercises are prescribed and if you follow them you should have no more symptoms.

For Appointments, Please Contact Dr. Kranthi R Vardhan, Chief Physician & Managing Director, The Kerala Ayurvedic Care, Sciatica & Spinal Research Institute, Basheerbagh, Hyderabad-29. Ph: 92461 66636 / 98666 66055 / 66101140 on all days from 8am - 8pm strictly with a prior appointment.

Anatomy of Sciatica The sciatic nerve is the longest and largest nerve in your body. Five sets of paired nerve roots combine to create it, and it\'s about the diameter of your middle finger. The sciatic nerve starts in your low back, which is called your lumbar spine. The nerve roots are at the L4 and L5 vertebrae (the \'L\' means lumbar, and the numbers indicate the level of the vertebra where it is in your back). The sciatic nerve also travels through your pelvic region (sacrum).

As mentioned earlier, the symptoms of true sciatica are very similar to piriformis syndrome. Both cause pain, tingling, burning, "electrical shock" sensations, and/or numbness down the leg, often all the way to the foot. In addition, both sciatica and piriformis syndrome tend to be at least partially related to biomechanical functional problems in the joints of the back and pelvis and they may even be present simultaneously in the same person, so it an be difficult to tell them apart.

Sciatica refers to irritation of the sciatic (often mis-spelled as syatic or psyatic) nerve, that arises from nerve roots in the lumbar spine. The most common cause of sciatic nerve irritation, or "true" sciatica is compression of one or more of its component nerve roots due to disc herniation or spinal degeneration in the lower lumbar region. Sciatica usually begins in the buttock area and, depending on the severity of the underlying nerve comression and inflammation, may extend down the entire leg to the ankle and foot.

For the service rendered by me in the field of Ayurveda, I have been awarded "KRRISHI RATNA AWARD" For the Year 2005, "AYURVEDA TAPASWI AWARD" For the Year 2006 & "VAIDYA RATNA AWARD" For the Year 2007. I am associated with TV9 a popular news channel in Telugu and spread the awareness towards Ayurveda in a Doctor-Patient Live interaction Programme called "MEET YOUR DOCTOR". Participated in many National & International seminar's. Published many articles related to 'Ayurveda and Panchakarma' in all the leading news papers like Deccan Chronicle, Hindu, Andhra Jyothi, Eenadu, Vaartha etc.

Piriformis syndrome, also known as "pseudo-sciatica" (meaning "false sciatica"), is actually referral pain and other symptoms (tingling, numbness, etc.) caused by tightness and knots of contraction in the piriformis muscle, which runs from the upper femur bone to the edge of the sacrum, the triangular pelvic bone that is below the lumbar spine. The symptoms of piriformis syndrome are very similar and may be indistinguishable from true sciatica.

True Sciatica responds extremely will to spinal decompression treatments. This is performed on a special table. The treatment schedule depends on your specific symptoms and cause. What needs to be done with disk bulges/herniations is that the disk material needs to be absorbed back into the disk and this requires taking the pressure off the disk. This is why spinal decompression is so effective. It is essentially traction targeted to your specific condition.

Two simple maneuvers will distinguish sciatica from piriformis syndrome in the majority of cases (when the problem is one versus the other and not both conditions at the same time). First, in a seated position, if one straightens the leg on the painful side (so that the leg is parallel to the floor), and the sciatica symptoms increase, this is usually a sign of true sciatic nerve irritation.

Take great care and avoid straining that delicate structure called the 'Spine'. About the Author: I, Dr. KRANTHI VARDHAN RENUKUNTLA, am an Ayurvedic Doctor Practising in Hyderabad. My Qualification is B.A.M.S; M.S.( Counseling & Psychotherapy). I Have my own 'Speciality Panchakarma Centre' named "THE KERALA AYURVEDIC CARE" @ 3-6-101/1, st no: 19, Basheerbagh, Hyderabad, Andhra Pradesh, India. Established in the year 1999, recently we have celebrated 9th anniversery of our institute. We Treat all the Chronic Ailments with AYURVEDA-which is considered to be the "MOTHER OF ALL SCIENCES".

 
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Dr. George Best is in private practice in San Antonio, Texas. For more information, check out Dr. Best's free e-book and online video course to assist in understanding and treating sciatica and piriformis syndrome, including in-depth instruction on sciatica exercises at http://www.SciaticaSelfCare.com .

Laminotomy. This is a partial removal of the lamina which can be done to widen the spinal canal and relieve compression on the nerve roots. Foraminotomy. Removal of bone, scar tissue, or other obstructions that are compressing the nerve root exiting the spinal canal.

True sciatica is caused from a variety of conditions: disk bulging or herniation, Degenerative Disk Disease (DDD), spinal stenosis and pregnancy. How to test for Sciatica

Herniated Discs Bulging Discs ???????? ?????????????????? Degenerative Disc Disease ?????????????????? Sciatica Syndrome ?????????????????? Spondylosis (Cervical /Lumbar/ Ankylosing)

If the pain is acute, then surgery may be needed in order to widen the spinal canal and to correct the conditions that are contributing to the nerve compression. Some of the surgical procedures used to treat spinal stenosis are:

What is Sciatica? Sciatica is a medical term used to explain symptoms that develop when the Sciatic nerve is compromised. Pseudo sciatica, which is the most common, occurs when the sciatic nerve is compressed by the Piriformis (bum) muscle. True sciatica occurs when one of the sciatic nerve roots is compressed when it exits the spinal column.

There are a variety of tests used to diagnose this condition. The first step is to go through a history of symptoms and activities with the client. Muscle and neurological tests are then done. An Xray, CT Scan or MRI might be needed depending on the initial findings.

The second maneuver is done in two parts. First, from the sitting position one bends the leg and pulls the knee on the painful side towards the same-side shoulder. In all but the most severe cases, there is usually no major increase in pain in this position. The second part of the maneuver is to pull the knee toward the opposite side shoulder. An increase in the sciatica-like symptoms is a strong indication of piriformis syndrome.

Symptoms of Sciatica Regardless of the type of Sciatica you have the symptoms are the same. These symptoms include but are not limited to pain in the low back, buttocks and down the back of the leg. Numbness and tingling are also common symptoms and they follow the same pathway. Weakness can develop anywhere along this pathway because there is an interruption in the sciatic nerve transmission.

In most people, the sciatic nerve runs under the Piriformis (bum) muscle, which moves your thigh side to side. From there, the sciatic nerve descends through the buttocks and the back of the thighs. Behind your knee, smaller nerves branch out from the sciatic nerve and travel down to your feet.

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For more information on spinal stenosis treatments and alternatives to back pain surgery see DRX9000 spinal stenosis treatment at http://www.drx9000-spinal-decompression.com, a popular site with free information on DRX9000 spinal decompression and other back pain treatments.

Spinal Stenosis Symptoms Symptoms of spinal stenosis can include back pain radiating to the legs, numbness or pain in the buttocks that worsen when walking or exercising, leg weakness, decreased physical endurance, loss of balance, and leg and neck pain.

I highly suggest trying it out and talking with Mike Dixon RMT. He has had over 20 years of clinical experience and he has been teaching spinal orthopaedics for over a decade. He has also written two books on spinal manipulation.

Our commitment is To Improve the Quality of Life for those with Spine Disorders; To advance the understanding and Treatment of those conditions through Research, Prevention and Education; and To deliver the finest quality Spine Care in a Friendly and Compassionate Environment, Treating every patient with the same Care and Respect we would demand for ourselves.

A large amount of confusion and misunderstanding exists concerning the conditions sciatica and piriformis syndrome. There are some who insist that the two conditions are actually the same thing, but even though they can have symptoms that are very much alike, the underlying causes differ.

Due to the risks involved, many doctors will resort to surgical treatments only after non-surgical treatments have been tried first. This article is not meant to replace the sound advice of a personal physician. Patients should discuss with their doctor all their treatment options before taking any medical course of action.

Decompressive laminectomy. This is used for treating lumbar spinal stenosis and involves removing the top of the vertebra to create more space for the nerves.

It is important to distinguish between sciatica and piriformis syndrome, because the treatment for the conditions varies, and getting the diagnosis right typically leads to more effective treatment.

??http://everesttherapeutics.com/downtown-vancouver/vancouver-massage/all-about-sciatica.html

About the Author:

Having only 2% of his vision left due to a progressive retinal degenerative condition, Mark felt a profession based on touch and not sight would allow him to provide the best service to society. It was an important decision in Mark's life that has been justified many times over since graduating from the West Coast College of Massage Therapy in 1995. Having weakness in one sense allows the brain to provide more power to other senses, for example, touch and intention. This is a great advantage that allows Mark to function at a heightened state of awareness when treating the body. Combining this with his knowledge in human movement patterns makes for a unique and powerful massage therapy experience. For the past 7 years, Mark has also worked on a political level with our Provincial, National and International massage therapy organizations.
Mark is joined by his seeing-eye dog Victor. Victor is a 3 year old Labrador/Retriever. Clients love to see the 90 pound bundle of love and joy when they come into the clinic.
http://everesttherapeutics.com
www.electrahealthfloor.com


Anna R. Guidry

 
 
     
 
 





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Sciatica is something that refers to symptoms having pain either caused by general compression or irritation of one of five nerve roots giving birth to sciatic nerve, or by compression or irritation of the sciatic nerve. Either compression of lumbar nerves L4 or L5 or sacral nerves S1, S2 or S3, or rarely, compression of the sciatic nerve creates sciatica. At times, pain in the lower back and...


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