sciatic nerve compression - Sciatica... the 3 guarantees
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Sciatica... the 3 guarantees

Sciatica ... you know the pain that travels down your leg and stops you enjoying so many activities. The back pain which has suddenly increased so your life is now not so easy. Did you know there are 3 guarantees that go with sciatica?


Sciatica usually affects only one side of the lower body. Often, the pain extends from the lower back all the way through the back of the thigh and down through the leg. Depending on where the sciatic nerve is affected, the pain may also extend to the foot or toes.


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 The term sciatica describes the symptoms of leg pain and possibly tingling, numbness or weakness that travels from the low back through the buttock and down the large sciatic nerve in the back of the leg. The vast majority of people who experience sciatica get better with time (usually a few weeks or months) and find pain relief with non-surgical sciatica treatment. For others, however, sciatica can be severe and debilitating.

The McKenzie technique works on pain centralisation, the tendency for pain to move towards the back from the legs, suggesting a disc problem, and many physios use this technique. Pain in the front of the thigh and over the knee can be referred from the hip joint, so the physiotherapist will assess the lower limb joints to check the diagnosis. A thorough examination informs the physiotherapist of the likely diagnosis and how they might treat the syndrome, or that the patient needs to be referred to a medical practitioner for a consultation and investigation.

Nerves are cord like structure which consist of several nerve fibres. Sciatic nerve is the largest nerve of our body which is also called as Great Nerve. It is around 2 cms in diameter. It arises from nerve (roots) plexus emerging from the sacrum (back part of hip bone). It comes out of the pelvis through greater sciatic foramen (opening) in the hip bone with piriformis muscle which unites hip joint and femur. From there it descends on the backside of the leg, deep into the gluteus muscles (buttock). It gives out branches tibial nerve and common peroneal nerve to supply medial and posterior aspect of leg.

Causes While sciatica is most commonly a result of a disc herniation directly pressing on the nerve, any cause of irritation or inflammation of this nerve can reproduce the symptoms of sciatica. These causes include irritation of the nerve from adjacent bone, tumors, muscle, internal bleeding, infections, injury, and other causes.

Sciatica is usually not severe; it is usually caused by minor joint and muscle distortion patterns that are easily fixed. On the rare occasions it is caused by disc problems. These need addressing by trained professionals and you will need treatment or at worse surgery.

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Disc prolapse can result in the internal nuclear material being extruded past the outer disc wall, physically compressing the nerve root which runs nearby. The nuclear material is also chemically irritating to the nerve structure and these irritants make the nerve and nearby structures swell, partly blocking the local circulation and the nerve's message transmission. Disc prolapse is typically the cause of proper sciatica but the size of the prolapse is not closely related to the amount of pain the person suffers.

And the final guarantee... Sciatica Guarantee #3 The best help is self help! What does this mean? As statistics show, the majority of cases (in fact over 96%) sciatica is a minor structural issue. The trauma that starts your back pain is not severe enough to create it. Your sciatica and back pain is due to a build of tension over weeks, months or years.

There are six typical causes of Sciatica. Spondylolisthesis Spondylolisthesis is usually found at birth, early childhood or acquired from physical trauma such as weightlifting. It is a disorder that most often affects the lumbar spine. Spondylolisthesis is characterized by one vertebra slipping forward over an adjacent vertebra. Often sciatic leg pain is caused when a nerve root compresses due to the vertebra being displaced and slipping.

Piriformis Syndrome Due to the lack of MRI or x-ray findings, it may be difficult to diagnose and treat piriformis syndrome. The piriformis muscle connects to the thighbone, assists in hip rotation and is located in the lower part of the spine. When muscle spasms develop in the piriformis muscle thereby compressing the sciatic nerve, Piriformis syndrome develops. The sciatic nerve runs beneath the piriformis muscle. Piriformis syndrome is named for the piriformis muscle and the pain caused when the muscle irritates the sciatic nerve. Lumbar Bulging or Herniated Disc

Sciatica is caused by pelvic distortion, lower back joint mobility, muscle tension and muscle weakness in the area. Sounds complex but in reality it isn't. Getting your joints in balance and moving freely is not just in the domain if seeing a professional. You can actually do this your self.

Sciatica is pain that starts in the back and radiates down one of the legs. It is quite a common complaint and is sciatica is caused by pressure on the sciatic nerve which runs down into the leg. The medical term is acute nerve root compression. The cause of pressure can be varied from a Slipped (Prolapsed) disk to muscle tension (Piriformis syndrome) or something less common such as a tumors, bony growths and infections.

Sciatica usually comes on quickly after an aggravating activity or posture, along with some back pain but this can go off when the leg pain starts. Sciatica is worsened by sneezing, sitting and coughing and is better lying down or standing. The pain is in the buttock and either down the back of the leg or the side and down into the foot. In 5% of cases the affected nerves are the first, second or third lumbar, which give front of thigh pain not beyond the knee. The full picture may sometimes not be present, with individuals describing discrete areas of pain such as the foot only.

Physiotherapists use a variety of therapies to treat sciatica, with McKenzie technique being a mainstream technique for discogenic pains. Mobilisation and manipulation techniques, core stability work, myofascial release, specific exercises, manual techniques, soft tissue work and massage, analgesia, patient education, rest, the best position to relieve extreme sciatica pain and advice are all used as treatments. Most sufferers settle without investigation or surgery and a long term exercise programme is useful once the problem has settled.

Before reviewing specific sciatica exercises, it is first important to explain what sciatica is, as the term sciatica is often misused and its definition often misunderstood. Sciatica is a set of symptoms rather than a diagnosis in itself (meaning it does not explain the cause of the pain). Sciatica (radiculopathy) is a general term that refers to pain caused by compression or irritation of one or more nerves exiting the lower spine that make up the sciatic nerve, and there are a number of different conditions that can cause this.

Sciatica comes with 3 guarantees; fail to notice these and your sciatica may stay with you for a long time. Learn to get rid of your sciatica once and for all!

Another cause of sciatica is trauma caused by accidents. The impact may injure nerves or cause fragments of bone to compress the nerves (lumbar or sacral spinal nerve roots)

So sciatica guarantee #1 is... if it is severe, affecting your muscle strength, changing your bowel or bladder control seek help immediately. Or I can guarantee your sciatica will get worse and you wish you had sought help.

A thorough history performed by the physio will uncover any red flags, an indication of a possibly serious underlying medical condition responsible for the pain. Loss of weight or appetite, severe pain at night, a history of cancer, unwellness or fever, bowel or bladder control difficulties, young or older patients, all these things ring warning bells and the physio will refer the patient on to a medical specialist for evaluation. The location, nature and response to activities and postures of the pain will be noted by the physiotherapist.

A primary cause of sciatica is a herniated or bulging lower lumbar intervertebral disk that compresses one of the nerve roots before it joins the sciatic nerve. Sometimes, irritation of a branch of the sciatic nerve in the leg can be so severe as to set up a reflex pain reaction involving the entire length of the nerve. For example, if the nerve is pinched or irritated near the knee, you may feel the pain in the hip and buttock.

 
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You need to learn ways you can ease the muscle tension, strengthen the weakened muscles and restore balance to your joints. The best news of all is that this can be achieved b using techniques your self, at home. This saves you seeing a practitioner, which also saves you time, money and pain. As you can treat your self as often as you wish at home. You are not limited by clinic hours, consultation charges or transport issues.

There is one type of spinal stenosis that exists where individuals are born with a narrow spinal canal. In people that have this condition even minor structural changes to the spine can cause severe spinal stenosis.

Target these three areas and your sciatica will disappear. Best of all it won't return in the future. Fail to target all of these areas and you are doomed to have ongoing sciatica. Whether it stays with you at a low level, or disappears and then returns again at some later date. Either way, unless you remove the 3 main causes of sciatica, it will return.

Physiotherapy Treatment of Sciatica by Jonathan Blood Smyth Sciatica results from a structure impinging on a lumbar nerve root, causing compression and/or inflammation enough to cause neurological changes in the skin, reflexes and muscles served by the affected nerve. Not a common syndrome, it is estimated that 3-5% of the population suffer this kind of problem at some time. It affects men and women equally with men most susceptible in their forties and women in their fifties.?? Up to a quarter have symptoms which last more than six weeks and referral to physiotherapists for acute management is routine.

If it repeats it usually comes back worse. So it is best to fix it properly the first time to save your self time, money and pain. The second guarantee is simple... fix the entire problem first time. So what do you need to fix?

Sciatica Guarantee #2 The second guarantee is also a warning. Unless you address all the factors that create your sciatica... it will return. The problem with mist back pain issues is this.

Dr Graeme Teague is an expert in the structural field, and has been in practice since 1991. His newly launched web site The Back Pain Advisor - http://www.back-pain-advisor.com - strives to give you valuable and expert advice, tips and information on your back pain issues.

For more information on Sciatica issues just visit Sciatica - http://www.back-pain-advisor.com/sciatica.html

For expert advice, tips and techniques to eliminate back pain visit http://www.back-pain-advisor.com/back-pain-advice.html

Sciatica is not a specific disease, instead it is a condition characteristic of several different diseases. Simply put, it is a mild to intense pain in the left or right leg. Sciatica is caused by a compression of one or more of the five sets of nerve roots in the lower back. These compressions are typically caused by a disc rupture or bone spur in the lumbar spine. It causes pain, numbness, tingling, and weakness in the arms or legs. This is referred to as radiculopathy. If the nerve root causing the problem is in the neck it is called cervical radiculopathy. Sciatica is called a lumbar radiculopathy since it occurs in the lower back.

The great forces which we impose on the low back mean the lumbar intervertebral discs suffer structural changes and prolapses. Many activities involve a significant level of leverage, such as flexing over, performing movements in an upright position and lifting with the arms away from the body. This greatly magnifies the forces on the discs and due to their fluid mechanics they suffer 3-5 times the loads on the skeleton. This can cause the disc walls to degenerate, giving weak areas and predisposing to prolapse at some time.

About the Author:

Jonathan Blood Smyth is a Superintendent Physiotherapist at an NHS hospital in the South-West of the UK. He specialises in orthopaedic conditions and looking after joint replacements as well as managing chronic pain. Visit the website he edits if you are looking for physiotherapists in Manchester.

The physiotherapist begins with postural observation of the patient which can show an inability to stand up or a thoracic shift to one side. Spinal movements are performed and the pattern of movement limitation noted, with a full neurological examination of the lower limbs. The physio is looking for deficits in muscle power, reflexes or feeling which are related to the specific nerve root involved. The straight leg raise may be performed to check the stretch reaction of the spinal nerve.

It is just one day you extend your self too far and then your sciatica pain arrives. The pain is due to the combination of muscle tension, muscle weakness and joint disruption. The cure is simple...

If you understand these guarantees then you can be finally free from your sciatica and can enjoy life once again. Now, I know you asking, what are the 3 sciatica guarantees?

If you think you may be suffering from sciatica, be sure and contact your physician to get a proper diagnosis! Liana Mirkin is the IT Director for Spina Systems International, Inc., a company which specializes in distributing the

Sciatica Guarantee #1 The first guarantee is more of a warning. If your pain has referred to your leg, down to your foot and is affecting the strength of your leg... You need help!!

Releasing muscle tension is simple enough if you know how to stretch, what to stretch and when to stretch... the 3 essential ingredients for any stretching routine. Building muscle strength also is simple. You don't need to spend hours in a gym, all you need to know is how to stimulate the nerve and blood supply to your muscles which gives them the strength they need to support your joints. Exercise just means you can lift more heavy objects.

Spinal Tumors Spinal tumors can be benign or malignant, but are fairly rare. They cause sciatica due to pressure on the disc. Trauma

Lumbar Spinal Stenosis The condition of spinal stenosis results in the spinal canal narrowing. The narrowing causes pressure on the spinal cord and spinal nerves. Common in patients over the age of 50 and with causes that are not clear, spinal stenosis has two different types frequently described. A common complaint of spinal stenosis patients is leg pain which gets worse with walking. Another complaint is back pain. Sitting and bending can sometimes alleviate these pains.

When the nucleus breaks through the annulus a herniated disc occurs. It is called a 'non-contained' disc disorder. A bulging disc is also known as a contained disc disorder. This means the nucleus pulposus (gel-like center) remains 'contained' within the annulus fibrosus (tire-like outer wall) of the disc. Because a herniated disc is a 'non-contained' disc disorder, the consequences of a herniated disc are worse. Whether a disc or herniates or bulges, disc material can press against an adjacent nerve root and compress delicate nerve tissue and cause sciatica. Irritation and nerve compression cause pain and inflammation often leading to extremity tingling, muscle weakness and numbness. The disc material itself also contains an acidic, chemical irritant (hyaluronic acid) that causes nerve inflammation. The herniated nucleus causes direct compression of the nerve root against the interior of the bony spinal canal.

Spinal stenosis related to age is the more commonly acquired form. This form of the stenosis condition may cause various spinal components to sag or bulge from arthritis. Discs, joints, and ligaments can be affected. These changes, which occur with age, can have the effect of narrowing the spinal canal and thus trigger spinal stenosis pain.

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