An Informative guide on the treatment of sciatica and back pain by Olivia O Leary D.C BSc Hons Chiropractic

Sciatica

 If you have suffered with Low back pain or Sciatica you are certainly not alone. Most people in their lifetime will suffer at least one episode of low back pain but unfortunately for most this is not a solitary experience. A person can experience multiple episodes of low back pain- hoping each time it will just go away.

A condition called Sciatica occurs when the low back pain does not just localise in the low back but also runs down the leg along the course of the sciatic nerve.  Here at Gorey Family Chiropractic Clinic we aim to prevent the unneccessary steps often taken and provide a comprehensive solution focusing on treating the root cause of the problem.  So let’s examine this difficult condition….

What is Sciatica?

Suffering from Sciatica

Sciatica refers to a pain that radiates along the path of the sciatic nerve- the sciatic nerve being the longest nerve in the body which branches from the lower back into the hip and buttocks and travels down the back of your leg to the toes. Typically Sciatica affects only one side of the body.

There are many causes of Sciatica but most commonly Sciatica occurs when tissue of the spine compresses or irritates part of the nerve for instance a prolapsing disc or a bony spur. This causes inflammation, pain, sometimes accompanied by numbness or pins and needles in the affected leg with occasionally weakness of the affected  leg also present.

Although the pain associated with Sciatica can be severe, most cases resolve well with conservative care (for instance Chiropractic treatment, anti inflammatories, modification of activities). Surgery is only recommended as a last resort for cases where there has been a failure to recover after  conservative care measures have been administered or if the spinal injury is very severe.

Sciatica Symptoms

Pain which radiates from your lower back to the buttocks and down the back of your leg is the most familiar and common symptoms of sciatica.  You may feel discomfort anywhere along the nerve pathway but it is most likely to present in the low back, buttocks and the back of your thigh and calf.

Often clients presenting to Gorey Family Chiropractic that have experienced sciatica describe a tightness in the leg and throbbing sensation in the calf and these types of symptoms can mislead them from thinking they have an issue with the back.
The pain can vary widely from a mild ache to a sharp, burning sensation or excruciating discomfort.  Often people experiencing sciatica can feel an electric shock sensations.  It may be worse when you cough or sneeze and prolonged sitting can aggravate symptoms.

Causes of Sciatica

•    Bulging or protruding discs
•    Spinal stenosis
•    Piriformis syndrome
•    Trauma
•    Lifestyle factors
•    Bony spurs
•    Spondylothesis

Risk factors for Sciatica

Occupation:  A job which requires you to twist your back, carry heavy loads or drive for long periods can increase the likelihood of the  development of sciatica.

Prolonged sitting:  People who sit for long periods of time or have a sedentary lifestyle are more likely to develop sciatica than active people.
Obesity:  Excess weight increases the stress on your spine and contributes to the spinal changes such as bony spurs which can cause sciatica. The lack of fitness of the core muscles is also contributory.
Age:   Age related changes in the spine such as degenerated discs and bony spurs can predispose individuals to the development of sciatica if they injure the spine.

Prevention of Sciatica

Strong Core:
Keeping the core muscles strong reduces the risk of herniated/prolapsed discs, a common cause of sciatica.  A strong core is needed to maintain proper posture, which takes stress of the spinal joints and discs.

Exercise:
Low impact aerobic exercises are also recommended as they help increase the endurance of the core muscles.  Walking, swimming and using a bike are examples of good low impact exercises.

Stretching:
Stretching on a daily basis is very important particularly stretches which promote flexibility between the vertebrae improving the elasticity of the spine reducing the incidence of simple back strains/ sprains or more complicated injuries involving the disc or nerve roots.

Posture:
Adequate support is required to prevent slouching, which places excessive stress on the lower  back.  A straight line should exist between the ear, shoulder, elbow and hip whilst sitting thereby creating good alignment and reducing postural strain on the spine which contributes to back or neck pain.

A good supportive mattress is also important. Mattresses that are too hard or too soft do not offer appropriate support to the back. Consider choosing a medium firmness pocket sprung orthopaedic mattress.

Avoid prolonged sitting or standing, which again can increase the stress  and strain on the lower back particularly if you are employed in an occupation which requires this day to day. Try to move and stretch periodically.

What do you do if your Sciatic Nerve Flares up?

•  Try to keep mobile- bed rest is not advisable

•  Use an ice pack on the lower back for 20 minutes to reduce inflammation and repeat every 1-2 hours

•   Do not use heat on the area

• Anti inflammatories, painkillers and muscle relaxants are often recommended to help ease the pain   but should not be used to mask symptoms on an ongoing basis.

•  Make an appointment at  Gorey Family Chiropractic Clinic to facilitate a full diagnosis of of the condition and the most appropriate treatment and exercise options will be explained to you to help you recover fully, faster and prevent injury in the future.

Here at Gorey Family Chiropractic Clinic we offer diagnosis of the causes of sciatica with onsite x ray facilities available and provide treatment for low back pain and Sciatica as well as offering lifestyle and ergonomics advice and exercise rehabilitation. Should MRI be clinically necessary we can refer patients directly.

We strive to correct the root of the problem and aim to improve the flexibility and  the stability of the spine.  We will encourage a rehabilitation programme if appropriate as we are committed to decreasing the likelihood of future episodes of low back pain and sciatica.

Many of our clients we have seen  from the Gorey, Arklow, Wexford, Wicklow and  Carlow areas have come to our chiropractors at Gorey Family Chiropractic Clinic as a last resort having found that their medication or procedures had not worked for them, sometimes in the short and sometimes in the longer term.

We Look Forward to Helping You..

If you, a friend or family member requires low back pain or sciatica treatment, we sincerely appreciate the trust and confidence shown by choosing our services at Gorey Family Chiropractic and look forward to helping you in the future.

For your convenience all of our Chiropractic team are registered with VHI, Aviva and Laya Healthcare allowing clients claim reimbursement from a wide range of private healthcare Insurance providers.

Opening hours Mon 8-7, Tues 9-5, Wed 8-7, Thurs 9-5, Frid 8-7

Tel: 053 94 83338   or alternatively email info@chiropractor.ie