The Benefits of Chiropractic Treatment for Sciatica
Sciatica refers to irritation/pressure on the sciatic nerve, which runs from the lower spine all theway down the back of each leg. This condition usually occurs when there is pressure on the nerve due to a herniated disc in the spine or spinal stenosis.
This condition gives rise to severe and more or less constant pain in the leg going all the way downto and affecting the foot. In most cases the pain is so strong that standard painkillers do not even touch it. It’s often associated with tingling or pins and needles in the foot, numbness and even weakness of the muscles below the knee.
These symptoms are not the same as coming from ‘mechanical back pain’ which by far is the most common form of lower back problem diagnosed. ‘Mechanical back pain’ usually starts in the small of the back and may spread to include the hip area and into the front or the back of the thigh. It rarely extends below the knee. ( see post on Mechanical Back Pain) The two most common causes of Sciatica, are Disc Herniation (often referred to as a slipped disc) and Degeneration (aka wear and tear).
Lumbar Disc Herniation:
Tends to happen to people aged between 30-50 years but fortunately is not that common. The disc at L4/5 and L5/S1 are most commonly involved. It is a very painful condition and can take a bit of time to get resolved.
The intervertebral disc sits in the space between the bones which make up the spine. The disc normally acts as a shock absorber. It is made of two parts. The centre, called the nucleus pulposus, which is spongy and provides most of the shock absorption and the outer strong ligament rings surrounding it, called the annulus fibrosus.
A disc herniation happens when there is a weakness or injury to the outer fibers allowing some of the spongy material to ‘run out’ causing pressure/irritation to the nerve root as it leaves the spine.
Degeneration (aka osteoarthritis)
This tends to happen to people over 60 years of age. As we get older, several changes happen to the bones and soft tissues. The disc loses its water content and may begin to collapse, causing the space between the vertebrae to narrow. This causes the space where the nerve exits the spine to become smaller which may lead to Spinal Stenosis and Sciatica (trapped nerve).A thorough history and a full examination will help in identifying the cause of the pain and the appropriate treatment for you.
Chiropractic care is an effective method for managing sciatica symptoms. Through manual manipulation of joints and relaxation of the surrounding muscles, a chiropractor can reduce inflammation around compressed nerves and restore normal mobility in your affected spinal joints.
Our chiropractors will also give you exercises and stretches that can help alleviate discomfort associated with sciatica. Additionally, they may recommend lifestyle changes such as improved posture and diet modifications to support healing.
This is a very very painful condition and at times we may need to work with your GP who can prescribe some strong pain relief to take while we work on your lower back to get it functioning again. We will do our best to get you off the medication as soon as possible to avoid the side effects from it.