Sciatica Pain

Constipation Sciatica: EP’s Chiropractic Injury Specialists


Constipation is a leading cause of low back pain in America and can cause a chain reaction in the rest of the body. When the digestional tract swells, it generates added stress on the back and surrounding nerves. Prolonged constipation and pressure can cause sciatica symptoms. Constipation sciatica can be relieved through chiropractic treatment, therapeutic massage, non-surgical spinal decompression, and functional medicine to alleviate symptoms and restore optimal body function.

Constipation Sciatica

Sciatica is irritation, compression, and inflammation of the sciatic nerve, which supplies the thighs, lower legs, and feet. It is usually caused by a pinched/compressed of one or more spinal nerve roots between the vertebrae of the lower back. The buildup of stool in the intestines can cause a dull aching sensation in the low back that can radiate to surrounding areas. Common causes of constipation include:

  • Insufficient water/hydration levels.
  • An unhealthy diet.
  • Vitamin deficiency.
  • Stress.
  • Little to no physical activity.
  • Sporadic and unhealthy bowel movements.
  • Overuse of laxatives or enemas.

Other causes of constipation include:

  • Medication reactions.
  • Antacids that contain aluminum or calcium.
  • Calcium channel blockers.
  • Iron supplements.
  • Pain medications, especially narcotics.
  • Sedatives.
  • Antispasmodics.
  • Antidepressants.
  • Anticonvulsants.


Bowel movements vary for everyone, and not having a movement daily does not mean constipation is occurring. Some individuals have only three movements a week, while others have multiple movements daily. A recommended indicator of constipation is if there has been a sudden decrease in typical bowel movements. The digestive tract occupies a significant region of the lower torso. Back pain symptoms can present after the rectum becomes obstructed or stools have solidified in the colon. Once constipation has developed, the blockage presses against the nerves and muscles of the back. This causes a range of discomfort signaling by the brain, which worsens as the backup grows. Symptoms of general constipation include:

  • Feeling full despite not eating anything.
  • Bloating.
  • Swelling.
  • Abdominal cramping.
  • Infrequent bowel movements.
  • Discomfort or aching when trying to pass a stool.
  • Hard and/or lumpy stool.

Constipation is considered chronic when two or more of the following symptoms occur for at least three months:

  • Further decreased bowel movements.
  • Straining to defecate.
  • Stools do not loosen without the use of laxatives.
  • Passage of hard pebble/pellet stools.
  • Consistent abdominal pain that is relieved by even slight movement.
  • Feeling as if the bowels are not fully emptied or a blockage in the rectum.
  • Feeling the need to assist the release by pressing on the abdomen.

Chiropractic Treatment

Chiropractic treatment can realign the spine, release compressed nerves, increase the frequency of bowel movements, and through the massage and relaxation of the muscles, help to soften stools. Intestinal muscles push the stool to the anus, where it leaves/evacuates the body. Special nerve cells in the intestine, known as ganglion cells, innervate the muscles to push. These nerves connect to the celiac ganglion, which connects to the spinal cord through nerve roots that exit the spine in the lower thoracic and upper lumbar region. The celiac ganglion innervates the liver, stomach, gallbladder, spleen, kidneys, small intestine, and the ascending and transverse colon. Treatment for constipation and back pain depends on the cause of the symptoms. For example, if the constipation is caused by dehydration, a chiropractor will instruct the patient on water intake as part of the personalized treatment plan.

Diagnosis to Recovery


Fernandes, Walkyria Vilas Boas, et al. β€œThe effect of a six-week osteopathic visceral manipulation in patients with non-specific chronic low back pain and functional constipation: study protocol for a randomized controlled trial.” Trials vol. 19,1 151. 2 Mar. 2018, doi:10.1186/s13063-018-2532-8

Panarese, Alba, et al. β€œChronic functional constipation is strongly linked to vitamin D deficiency.” World journal of gastroenterology vol. 25,14 (2019): 1729-1740. doi:10.3748/wjg.v25.i14.1729

RΓ©dly, Monika. β€œThe effects of chiropractic care on a patient with chronic constipation.” The Journal of the Canadian Chiropractic Association vol. 45,3 (2001): 185–191.

Trager, Robert James, et al. β€œAssociation between radicular low back pain and constipation: a retrospective cohort study using a real-world national database.” Pain reports vol. 6,3 e954. 26 Aug. 2021, doi:10.1097/PR9.0000000000000954

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Professional Scope of Practice *

The information herein on "Constipation Sciatica: EP's Chiropractic Injury Specialists" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.

Blog Information & Scope Discussions

Our information scope is limited to Chiropractic, musculoskeletal, acupuncture, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

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Our office has reasonably attempted to provide supportive citations and has identified the relevant research studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.

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Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*


Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182

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Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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