Posts Tagged sciatica

A Short Explanation Of Sciatica And A Few Basic Treatments Available

Sciatica is a common problem that people can sometimes experience. It is the term used by the medical community for pain, numbness, or weakness that is in the leg. However, despite what many believe, it is not a medical condition, but rather the result of a medical condition that you may already be experiencing. The cause is from pressure being applied to the sciatic nerve or nerve damage in the area.

Some people describe the experience as a tingling feeling that is present in their legs. Others say that it is more like a burning sensation. In individuals who have very severe cases, they may not even be able to move properly. There have been cases of it happening in both legs, however it usually only happens in one. Pain can be felt in the hip or back of the leg. Individuals may also report feeling pain in their feet as well.

The doctor can diagnose if you have sciatica from different tests that may be performed. This can include x-rays, MRIs, and blood tests. Tests to show your range of motion can also be involved. For example, an individual who is suffering of sciatica might have some problem with weak reflexes or bending their feet down. There might also be difficulty in bending their knees.

When the ailment is treated prior to nerve damage having the chance to worsen, there is a greater chance for the individual to have a full recovery. In other circumstances, a full recovery might not be possible and the individual may lose some of their motion. Pain can become prolonged and more consistent. This is a fairly good example of why it is important to have the ailment treated promptly.

Treatments can depend on what is causing the damage and lack of function to the sciatic nerve. In the best cases, treatment is non surgical and the patient recovers very quickly, but this is dependent on the severity of the problem. In cases where the nerve damage may be caused by something applying pressure to the nerve, surgery is required to ease some of the symptoms. Medications or injections can also be prescribed to help treat the pain and stop some of the inflammation in the nerve area itself.

Other treatments may include options such as physical therapy. This is good for promoting muscle strength and range of motion in the individual. In combination with other types of therapy, it can help the individual to regain their motion and proper function again. The doctor might also suggest different methods for the individual to work in consideration of their condition, or changes at their job if they tend to sit or stand a lot.

The terms for prevention can vary depending on how severe the nerve damage is. What may work as a preventative measure for one individual may not work as well for another individual based on the differences in their condition. Prevention measures are best discussed with your doctor, who can explain the best solutions and treatments for you in your own situation with the ailment.

In order to receive the best results in the recovery of the individual from sciatica and its pain, an examination should happen as promptly as possible. Even if the individual only suspects the possibility, it should be considered and treated seriously. If pain continues without proper care, nerve damage can increase and make it more difficult for the individual to recover correctly.

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Six Ways to Stop Sciatic Nerve Pain

What is Sciatica? Sciatica is a persistent pain that is felt along the sciatic nerve; it runs from the lower back down to the toes. It controls the muscles to the legs and provides sensation to the thighs, legs and bottoms of the feet. Sciatic nerve pain occurs most often in people between the ages thirty through fifty. It usually is caused by repetitive use type of conditions, such as sitting for long periods of time, or normal wear and tear. It is rarely caused by an acute injury.

The discomfort from sciatica can be sometimes debilitating it can get so severe it can be difficult for one to sit, walk or even sleep. Some people experience tingling while for others it is just a dull ache. Occasionally it can be a burning type of pain. Pain from the sciatic nerve is usually caused by the nerve being pinched or irritated in the lower back or lumbar spine. The nerve then gets inflamed and causes a variety of symptoms that can ruin one’s lifestyle.

The most conservative type of treatment for sciatica is the application of ice. I recommend to my patients to lay flat with two pillows under the knees and apply ice to the lower back on the side of involvement for fifteen minutes. This can be repeated up to every hour if necessary. It is important not to apply the ice for more than twenty minutes at a time because this can aggravate the condition. Applying ice to the source of the problem will decrease the inflammation of the nerve and subsequently decrease pain. Although this may be a temporary solution, it does offer some relief.

Manipulation of the spine to relieve the pressure on the nerve has been demonstrated in studies to be one of the most affective treatments for sciatic pain. Manipulation is the best place to start when someone has sciatic nerve pain. It is a non-invasive, drug-free treatment option. The goal of manipulation is to realign the spinal bones taking the pressure off the nerve. When the nerve pressure is alleviated one often finds great improvement with decreased pain and inflammation.

Other very effective, conservative option is a good exercise program. There are many exercises available, but these are the ones I have used in my clinical experience to be most effective. The first exercise is laying flat on your back with your knees bent. Squeeze or flex you buttocks pressing toward the ceiling. Hold this position for a count of ten and slowly return to the neutral position. Repeat this four times. Starting at the neutral position, bring each leg to your chest with both hands one at a time. Follow this by bringing both knees to the chest, bringing your head up again holding for a count of ten and returning slowly to the neutral position and do this four times. A third exercise is laying on your stomach and arching backwards with your elbows on the floor moving from a neutral position to a comfortable flexed position arching backwards as much as you can but stopping if back or leg pain worsens. The fourth exercise is on your hands and knees, pushing your back up toward the ceiling then pushing it to the floor, (this is often called the cat stretch). These exercises should be initiated slowly and if there is any pain or discomfort, to stop before you have pain. I would recommend doing these exercises two to three times a day.

There are many nutritional aspects to sciatic nerve pain you may not know. A diet that is pro-inflammatory i.e., one that is rich in meat, dairy and shellfish will promote inflammation of the nervous system. An anti-inflammatory diet consists of fruits, vegetables and fish. This is one of the most useful ways to treat the symptoms of inflammation and relieve pain.

The nutrients that I found to be most effective in helping sciatic nerve pain are turmeric, tulsi and rosemary. These powerful herbs have been studied and found to greatly decrease inflammation. Boswellia is an herb that is a specific anti-inflammatory. This is especially helpful for patients with arthritis. Bromelein is a plant enzyme found in pineapples and has natural anti-inflammatory affects. I prefer to take this with papain as well, it is essential that you take it between meals to really get the benefits of the anti-inflammatory nature. Ginger is a powerful herb that gives pain relief. You can steep fresh ginger in boiling water and use it as a tea or make a juice out of it. Evening primrose oil, black currant oil, or borage oils contain the essential fatty acids Gammalinolenic acid. These omegas will greatly reduce the inflammation and take down the pain of the sciatic nerve.

There are quite a few ergonomically beneficial positions that will improve sciatic nerve pain no matter the cause. It is an crucial part of your treatment to improve your posture and use your body correctly. Good posture helps the body allieviate strain on muscles, joints, ligaments, and internal organs. Good posture must be considered in all activities: sitting, standing, resting, working, playing and exercising. It is not just a matter of “standing tall”.

In the resting position, it is best to lay flat on your back with two pillows under your knees or lay on your side with a pillow between your knees. Stay away from positions like sleeping flat with no pillow, on your stomach or lying on your stomach with one knee bent up. This will cause a ’swayback’ condition. Some easy things, such as getting up and down from bed, to get into bed it is preferred that you sit on the side of the bed bring both arms to one side, lower your side to the bed keeping your knees bent at forty five degrees, then pull your feet into bed. Remain on one side or roll on the back. Getting up from the bed it is advised to roll on your side push with the hands to the sitting position keeping knees bent and swinging legs over the edge of the bed. When sitting, avoid a chair that is too high, as this will increase swayback. When sitting, the knees should be higher than the hips as this will flatten the lumbar curvature. Avoid slouching on a chair with feet on an ottoman because this can strain the lower back. When traveling in a car, the seat should be close to the steering wheel and use a small pillow for correct lumbar support. When standing, I recommend placing one foot on a stool or shelf and after a short time switch to the other foot, this will flatten the lumbar curve and ease the pressure off the low back. When lifting, avoid bending at the waist. Bend the knees and carry the object close to the body. When bending, bend at the knees and push your buttocks out rather then bending at the waist.

In conclusion, in order to stop sciatic nerve pain, you need to drink plenty of water. A dehydrated body is one that will struggle to heal. It is important to drink at least six to eight glasses of water per day to keep the body well hydrated and to flush toxins built up from resulting muscle spasms. Water will also hydrate the disc. Between your spinal bones are intervetebral discs that dry out as we age, the more we can keep them hydrated, the less degenerative arthritis will result in the spine. This is also the reason we get shorter as we age is each little disc between the vertebrae dry out, or desiccate, then the result will be a loss of height.

If you follow these simple steps for stopping sciatic nerve pain, you will go a long way preventing any discomfort in the future and avoid any harmful drug side effects or painful surgical intervention. Remember, an ounce of prevention is worth a pound of cure.

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How to Solve a Golf Injury

Have you ever wondered why so many golfers have bad backs? Golf is one of America’s most sought after pastimes. Many find the sport relaxing and therapeutic, to others is the source of there never ending discomfort. The twisting and bending motions of the typical golf swing impact the back in ways that most chiropractic physicians cringe about. If you look at the typical golf magazine they will say that the best form is a reverse C. Having your spine arched backwards to get the full back swing may look good on paper, but it puts a great amount of force on your lower back and posterior joints. This is the most common injury that we treat related to golf lower back pain and result in sciatic pain.

I would like to share a story with you about a patient who came into my office with a rather typical problem that might sound familiar to a lot of you. Mr. Jones is about 72 years old, he is retired salesman and his general state of health is fair. He is slightly obese; he is also suffering from mild arthritis. When Mr. Jones first came into our office he stated that he typically gravitated toward traditional western medicine and stated that his wife made him come to our office for an evaluation.

When he first arrived in our office, he stated that was unable to play golf because of his back pain and sciatica. He wasn’t able to swing the club and walking even from the golf cart to the green, he had to use his golf club as a cane! By the way, this typically is what motivates most golfers to get treatment-when they can’t play golf anymore. Mr. Jones further stated that he could not sleep at night because of the pain and it was impacting his life where he couldn’t go to the mall with his wife and walk around due to the pain and it was getting very frustrating for him. He stated “he had went to his medical doctor who gave him muscle relaxants and pain pills and he stated that the pain pills temporarily helped, but when they wore off, he was in more pain than ever”. Mr. Jones further stated that he had not been to a chiropractor before. When he first came to our office, he had mixed reviews from some of his friends, some got excellent results and some other people did not get results. He also stated that his medical doctor referred him to a neurologist who performed many tests and told him to do physical therapy which he did, with no relief. The neurologist was also talking about surgery and he was not thrilled with that recommendation so he and his wife decided to seek a different type of care.

He stated that he expected chiropractic care to help him to play a round of golf again. We evaluated Mr. Jones and after a complete neurological and orthopedic evaluation, determined that he had a pinched nerve that was causing his discomfort. He would require a series of conservative treatments consisting of spinal manipulative therapy together with Class IV laser therapy. He was also advised to use ice. Initially his treatment program was three time a week for approximately four weeks.

After the first visit Mr. Jones stated that he did feel somewhat better and after his fifth or sixth visit he had almost no pain. He stated that at that point he was able to get off all his pain killers and muscle relaxants. After his first week of care, when the pain was more manageable, we began a light stretching exercise routine followed by isometric exercises and then progressed to resistance training, specifically geared toward golf. During Mr. Jones second week of treatment, we agreed that that he could begin to swing his club slowly in the yard and if that felt comfortable he could go to the driving range and hit some balls. He felt great about this as he was anxious to get back on the course. After three weeks Mr. Jones was able to play golf without pain and his sleeping pattern was back to normal and he was able to go for that walk in the mall with his wife, which made her happy.

One of the most common things I hear from patients is “why did I wait so long?” Mr. Jones was surprised and questioned why his medical doctor didn’t send him here sooner. I told Mr. Jones that some allopaths are more supportive than others in referring to chiropractors. I explained to him that chiropractic was the best place to start with an injury such as his as it is the most conservative treatment and there is no side effects to it and if the person doesn’t get the proper results to try more aggressive treatment such as medication, injections or as a last resort surgery. Mr. Jones is now a raving fan and he said “I can’t believe I feel so good! I have more range of motion in my back which allows me to have a better back swing and follow thru. It has even taken a few strokes off my game!”

Mr. Jones is a typical patient. When a patient truly understands their condition and what caused it, they can take steps to correct their problem and prevent any further aggravations in the future. Mr. Jones is now on an active exercise program. He is eating better and he’s lost some weight. He stated that he has felt better than he has in years.

Before you go out on the golf course and suffer a golf injury, go to this website at www.healsportsinjury.southwestfloridachirpractor.com now!

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You May Be Able To Avoid Surgery With Spinal Decompression Therapy

Of all the parts of the human body, the spine is one of the most critical. The central nervous system and the spinal column is the very first thing to form in the womb. The brain communicates with the rest of the body through the spinal cord which is housed within the spine. Damage to the spine can cause many problems in our bodies. When a vertebrate or disk is damaged, it can cause many complications and plenty of pain for the individual. Spinal decomrpession therapy is now being used to help those who have suffered back injuries or have suffered damage due to disease.

The bony structure of the spine is made up of vertebrae. These pieces of bone are separated by discs which act as a cushion between each vertebra. If these discs should suffer damage from disease or accident, it can cause the vertebrae to be misaligned and cause problems with the central nervous system. It also causes quite a bit of pain.

Surgery is one way that a spine can be corrected. It involves inserting metal rods on either side of the spine to hold it in position. Generally speaking, any time an individual can avoid having surgery they will do so. When it comes to having back surgery, most people are quite hesitant, and that is quite understandable.

Whenever possible most individuals will seek treatment which does not involve surgery. When it comes to the spine chiropractic care is the first treatment that most individuals will consider. Chiropractors have been using spinal manipulation for many years to improve the health of their patients.

During spinal decompression, the vertebrae are slowly pulled against each other to allow everything to come into place. Herniated discs are one of the conditions which can be treated successfully using decompression. When the spine is put into traction, it will elongate which will take the strain and pressure off of injured areas.

When the spine is elongated and the pressure is relieved a herniated disc eat is referred to as negative pressure. This negative pressure allows the injured area to heal much more quickly than without the decompression therapy.

People who have suffered from chronic back pain for years could possibly find relief using spinal decomrpession therapy. The treatments usually start off being given multiple times in the first week, with sessions and then being scheduled further apart as follow-ups. Many back pain sufferers have found significant relief from back pain using this procedure.

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The Human Foot

The foot’s design is complex and specialised to manage the forces generated by bearing the weight of the body and by the need to propel the body in gait. The talus is at the apex of the main longitudinal foot arch and is held firmly by the ankle mortise. The largest arch is the lengthways or medial arch of the foot which manages the forces involved in moving the body and standing, the spring ligament contributing to this by storing and releasing the energies involved. The outside or lateral arch is less obvious as is the transverse arch at the front of the foot.

The foot would be unable to fulfil its job of dynamically propelling and supporting the body without the arches it is designed to have. The arches absorb and hold the energies as the weight of the body interacts with the surface, releasing the energies as the step is completed. Watching someone walking who has flat and painful feet it is clear that their feet are just platforms, exhibiting a complete lack of dynamism and flexibility. It is important to maintain the health of the arches to keep our mobility at its highest level as the years go by.

The foot is designed to fulfil two main actions: to accept the forces generated in locomotion and generate propulsive forces to effect gait and to manage the forces involved in movement of the body weight which are often greatly increased by motion. Some of the calf muscles, as mentioned in an ankle article recently, function to keep the arches of the feet working but the long flexor muscles of the toes do this also. Originating from the calf and running underneath the foot to insert into the toes, these muscles bend the toes and work by gripping the ground for stability and movement. The shorter intrinsic muscles, originating in the feet and inserting in the toes, bend the toes whilst keeping them straight.

When a person with a normally functioning foot takes a step the first contact with the ground is with the heel somewhat on the outside. As the step continues the lower leg rolls over the talus inside the ankle joint and the foot arches, the joints and ligaments, absorb the energies of weight bearing and movement. Moving forwards and inwards, the weight is borne finally by the metatarsal heads of the second and first toes, with the final push from the toe muscles.

Each moving joint in our body has a degree of accessory movements in it, which are limited and subtle internal movements between joint surfaces which cannot be exhibited in isolation. A normal joint depends to some degree on the accessory movements present within the joint and if these are lost or reduced the joint’s function is compromised. A high number of intricately designed foot bones are packed into a small area, creating the arches, and all these bones have highly functional accessory movements between them.

The foot arches begin to flatten as the weight of the body is passed through the foot and the tension and elasticity of the foot ligaments counteracts this with the strength of the calf and foot muscles. In moving towards push off the foot is aided by the calf muscles contracting as a sling to maintain the arch, the gripping of the ground by the toe muscles and by the energy recoil of the ligaments. The arch varies in height as the walking cycle continues and this means accessory movements between the many arch bones are constantly occurring so that the bones can slide and glide into the required positions.

The independence of movement between all the many foot bones is vital as the weight causes a spreading of the under surface of the joints and a closing in of the upper joint lines. The foot can accommodate to the circumstances which present themselves in a dynamic fashion at least partly to the individual inter-joint movements. The foot will lose some of its flexibility in responding dynamically to circumstances if accessory movement is lost and the foot changes function from an active system to a passive platform.

Jonathan Blood Smyth is the Superintendent of Physiotherapy at an NHS hospital in the South-West of the UK. He writes articles about back pain, neck pain, and injury management. If you are looking for physiotherapists in Bolton visit his website.

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