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Sciatica

If your sciatic nerve becomes inflamed, the condition is called sciatica (pronounced si-ad'-i-ka). The pain can be intense! It often follows the path of your nerve - down the back of your leg, ankle, foot, and toes - but it can also radiate to your back! Along with burning, sharp pains, you may also feel nerve sensations such as pins-and-needles, tingling, prickling, crawling sensations, or tenderness. Ironically, your leg may also feel numb!


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The most common causes of sciatica are: a herniated disc, lumbar spinal stenosis, spondylolisthesis, trauma, piriformis syndrome, and spinal tumors. When one suffers from a herniated disc, there is an inflammation or bulging of the spinal disc causing it to protrude out of the annulus. The annulus is the space between the spine where the spinal discs are located. Disc herniation could exert pressure on the nearby nerve root causing a direct compression on sensitive nerve tissues such as the sciatic nerve. Lumbar spinal stenosis is almost the same as disc herniation in the sense that spinal nerves are pinched. In this case, though, the spinal canal shrinks, squeezing and applying too much pressure on the spinal nerve inside. The spinal nerve branches out of the spinal canal to the entire body through openings called as neural foramina. Once these passages are congested or narrowed, it causes nerve compression. If the blockage happens on these passageways, they're considered foraminal stenosis. If it occurs on the opening where the sciatic nerve passes, it may cause sciatica.

In most circumstances conservative sciatica treatment is tried for three to six months. When conservative sciatica treatment fails to alleviate your pain more aggressive sciatica treatment options are usually attempted. Epidural Steroid Injections: An injection of a corticosteroid medication to the affected area may be helpful in some instances. If taken in doses that exceed your natural levels, inflammation is suppressed relieving painful symptoms caused by the pressure of the inflammation. Most effective when used in conjunction with a sciatica treatment rehabilitation program. Because of the serious side effects that corticosteroid injections can cause, the number of injections you can receive in a year is usually limited to no more then three. Surgery: Surgery is most often a last resort and left until the compressed nerve causes significant weakness, loss of bowel or bladder control, or if the pain itself is progressing and conventional sciatica treatment is not working. Most often surgery is preformed as a sciatica treatment to remove a portion of a herniated disk that is pressing on a nerve. The goal is to preserve as mush of the normal anatomy as possible, leaving as much of the disk intact as possible.

As a Board Certified Chiropractic Neurologist, I take a different approach to the treatment and prevention of sciatica. After a thorough neurological exam, I determine which part of the nervous system is not functioning properly. In many sciatica patients, I find a high mesencephalic output.

There are also other factors, but these are the main causes. So for complete and permanent sciatica relief, you need to address all these issues. The muscle and joint imbalances are easy to address with simple targeted techniques. The stress and general health issues are just as easy if you use techniques to address these at the same time.

Well I have some good news and some bad news... The Bad News is this is just a dream. You will see countless web sites selling their miracle cure for sciatica and back pain, yet the majority of these just don't work. Sure some will help, but you want permanent sciatica relief (more on that soon - the good news).

5 - General Health: especially your digestion. The bowel and the low back have the same nerve supply, hence if you suffer constipation, gas or wind or any bowel irregularity then you can suffer low back pain or sciatica.

3 - Joint Disruption: the pelvis and lower back from the sciatic nerve, if their mobility is less then the sciatic nerve becomes irritated. 4 - Stress: yes good old stress. Stress tightens muscles, slows healing and leads to most of the underlying causes of any health problem.

Another cause can be spondylolisthesis, or more commonly known as slipped discs. It may also cause sciatica when a vertebral disc moves out of place and applies direct pressure to the spinal nerve adjacent to it, usually occuring on the lumbar or the lower portion of the spine. Blunt force trauma to the lower back region may cause severe damage to the spine and may cause sciatica as well. Accidents or external forces that may cause bone fractures like vehicular accidents, horse riding accidents, sports injuries may all lead to sciatica as bone fragments may occasionally be the cause of the nerve compression. The piriformis syndrome occurs when the piriformis muscle spasms and compresses the sciatic nerve. In this case, the sciatic nerve running beneath the piriformis muscle may sometimes get irritated by movement of the said muscle.

No matter what the condition, it is imperative that the chiropractic neurologist performs a thorough and comprehensive exam to determine the exact nature of the patient's condition.

To complicate matters, although sciatica pain is usually in the back of the legs or thighs, some people may feel pain in the front or side of the legs or even in the hips. For some, the pain is in both legs: bilateral sciatica!

There are three parts to the brain stem: top, middle and lower. The mesencephalon is the top part of the brain stem. A high output of the mesencephalon will cause an increased pulse and heart rate, the inability to sleep, or a waking, fitful sleep. Other symptoms might include urinary tract infections, increased warmth and sweating, and sensitivity to light. Along with a high mesencephalic output, the migraine patient may present with a decreased output of the cerebellum. The cerebellum controls balance, coordinated movement, and the involuntary muscles of the spinal column.

Lastly, spinal tumors are anomalous growths on the spine that can either be benign or malignant. Rare as sciatica cases being caused by spinal tumors may be, once a tumor develops in the lumbar region, it may cause nerve compression that may trigger sciatica.

Sciatica is caused by 5 potential factors: 1 - Muscle Tightness: especially the Piriformis muscle if tight will cause sciatica. 2- Muscle Weakness: most commonly the abdominal muscle group (this is a lack or nerve and blood supply, not lack of doing sit-ups).

Sounds amazing doesn't it? Is it possible to be pain free in just minutes and never have to worry about your back pain or sciatica returning? Imagine being able to do everything you wish without the fear of pain.

I don't want to seem like I'm putting these others down, but to have complete and permanent sciatica relief; you need to address all the causes of your back pain. And the good news is...

Have you ever felt a chronic, burning pain that spreads from your lower hip running down to your foot? Is it just as painful sitting down or standing up? You might be suffering from sciatica.

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

Receive a free e-book on back pain when you subscribe to our newsletter, just click here - Back Pain Adviser - http://www.back-pain-advisor.com/back-pain-adviser.html

The quality of pain may vary. There may be constant throbbing, but then it may let up for hours or even days; it may ache or be knife-like. Sometimes postural changes like lying down or changing positions affect the pain, and sometimes they don't. In severe cases, sciatica can cause a loss of reflexes or even a wasting of the calf muscles.

 
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The Good News is that complete and permanent sciatica relief is possible. It also does not take months to achieve, but it does take consistent effort. Not a large effort but a daily routine of teaching your body to work better. Why?

In most people, self care measures is usually recommended a sciatica treatment as this usually responds well. Continuing with your usual activities but avoiding the original factor that aggravated your sciatica pain in the first place will help you to heal more quickly. Even though it seems like a few days of bed rest may provide some relief, any more then this is not a good idea. Inactivity will make your symptoms worse over time. In addition to self care sciatica treatment, try some of the following: Cold Packs: Cold packs help to reduce inflammation and relieve some of the discomfort. In a clean towel, wrap an ice pack or a bag of frozen peas and apply to the affected areas for fifteen to twenty minutes four times per day. Hot Packs: After 48 hours have passed, apply heat to the affected areas. Warm packs or a heating pad on the lowest setting should help to alleviate some of the pain. Try to alternate warm and cold packs if you continue to have pain. Stretching: When stretching initially after your sciatica flare up, stick to passive stretching and avoid jerking motions including bouncing or twisting. Over The Counter Medication: There are two categories of pain killers. The first one only relieves pain. The second type of pain killer relieves pain as well as treats inflammation. These are called Nonsteroidal anti-inflammatory drugs. Products such as aspirin, ibuprofen and acetaminophen products such as Tylenol can help to relieve sciatica pain. These can provide real pain relief but there is a limit to how much pain can be controlled. This is known as the ceiling effect - exceeding the recommended dosage wont provide better results. Worse though is that these NSAIDS are known to cause side effects in some people such as nausea, stomach bleeding or ulcers. Acetaminophen has been known to cause liver problems if taken in excess. If you use these medications on a regular basis talk to you health care professional so that you can be monitored for problems associated with prolonged usage. If you are exercising, stretching or following another sciatica treatment program you should periodically re-evaluate if you still require these NSAIDS for pain management. Prescription Drugs: A muscle relaxant along with anti-inflammatory medications may be prescribed by your health care professional. In some cases of chronic pain anticonvulsant and tricyclic antidepressant drugs may also be prescribed. By blocking the pain messages being sent to your brain or enhancing the bodies production of endorphins, pain symptoms can sometimes be handled this way. Your bodies natural painkillers are called endorphins. Physical Therapy: Physical therapy can play an important part in your recovery from a herniated disk. When your condition improves your physical therapist can work with you to help design a rehabilitation program that will help you prevent the same injury in the future. Regular Exercise: When you injure yourself you think that movement or exercise would be counterproductive and all you want to do is just lay down and rest until the pain goes away. The truth is that regular exercise is the best way to combat many ailments, including chronic discomfort. When you exercise your body releases endorphins. Endorphins are the chemical that prevent pain signals from reaching your brain and can also help to fight against anxiety and depression. Your pain may be more difficult to control if you suffer from either depression or anxiety.

Sciatica, as the name implies, affects the sciatic nerve. The sciatic nerve is the single longest nerve in the body. It originates from the lower lumber region of your spine, through the pelvis, through the hind portion of your leg down to your foot. It is mainly responsible for distributing blood to the back of our lower extremities.

There are a lot of treatments recommended for sciatica, some non-invasive and some involving surgery. In cases of bone fragments, spinal tumor, and severe cases of slipped or herniated disc causing the sciatica, of course surgery would be required as treatment. But for some minor instances, chiropractic treatment and acupuncture is enough to relieve the pain. Chiropractic therapy may range from ice/cold therapy, ultrasound, transcutaneous electrical nerve stimulation (TENS), to spine adjustment or manipulation. These entail for the lumber area to be exposed to cold or heat to reduce inflammation and muscle spasms.

No matter how long or how severe your sciatica is, it does take time to remove your pain. Not a long time, but time all the same. You need to address the causes and symptoms after all. They have taken time to arrive and they will take time to disappear.

For sciatica sufferers, a good night's sleep may be a thing of the past. Simple things like walking, sitting, or standing up can be difficult or impossible.

It is the last minor activity that can tip the scales and cause your pain. Too remove it again, you need to rebalance the scales with the targeted structural techniques and address the true causes with simple effective techniques. Then you have the "miracle" sciatica cure.

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.

Sciatica relief is simple enough. It takes a daily approach to change the habits your body has that led to your sciatica. Statistics show that over 92% of back pain conditions are not caused by physical trauma or physical stress. They are caused by the accumulation of daily general and emotional stresses.

Are you looking for a "miracle" sciatica cure? Do you want to use an exercise that takes less than a minute to do and permanently removes your sciatica once and for all? Would you like to be 100% pain free in just 2 minutes from now?

Acupuncture is a form of alternative medicine that originated from China. Fine needles are inserted into your skin in strategic points in the body to release negative energy and restore health and well-being, and treat pain and illnesses. It has been proven effective by medical practitioners. It is highly recommended as a treatment for generic lumbar pain, even for mild sciatica, as it supposedly releases tension from the spastic muscles and relieves the pressure from the compressed nerve.

So if you have been experiencing sharp, burning pain on your lower extremities, it is best that you consult a medical practitioner at once. You might be experiencing sciatica. But like they say, prevention is better than cure. Let's not abuse our bodies. RESOURCE BOX: Choose Variety of High Quality Medicines at Online Medicines Enjoyed Reading this article? More here: Pharmacy Articles


Tracy B. Wheeler

 
 
     
 
 





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