Do you have lower back pain or pain literally in the rear that runs down into one thigh or below the knee into the leg and even the foot? A doctor may diagnose these symptoms as sciatica, which describes compression of the sciatic nerve.
Depending on the affected nerve, pain could radiate only into the buttock or down to the foot. A common cause is a lumbar disc herniation or bone spur that presses down on the spinal nerve. Sciatic pain radiates along the nerve, usually from the low back, down the buttocks, into the thigh and leg, below the knee, and sometimes into the foot and big toe.
Sciatica usually affects one side of the body.
A doctor may use the terms radicular pain or radiculopathy when talking about sciatica. Radiculopathy is pain/adverse sensation that travels along a nerve. When a spinal nerve root is compressed, pinched, or injured, it becomes inflamed. Low back conditions contributing to this problem are spinal stenosis, foraminal stenosis, or herniated disc.
The doctor will ask about your symptoms:
A doctor might perform a straight-leg test to see if there is an inflamed nerve. This is a simple exam where you lie on your back, and the doctor lifts each leg. If this causes or produces pain and sensations, it can indicate a bulging/slipped, or ruptured disc.
The compression of the nerve can also cause muscle weakness in the foot. Another exam may be to walk like you usually do, then on your heels, and finally on your toes. This checks your balance and lower-body strength.
A doctor may order x-rays, CT scans, or MRI.
The CT scan or MRI provides doctors with various images of your spine, which can help diagnose whatever is causing your symptoms. These tests are then compared to what the doctor noted during your medical history interview and the physical and neurological examinations. An accurate diagnosis is the first step in figuring out the best treatment plan.
Only a doctor can tell if your symptoms are sciatica. Other structures in the spine can cause similar types of pain.
Sciatica can be treated non-surgically with:
Patients with sciatica feel better with time, usually a few weeks. If pain continues, other treatment modalities can be discussed. Muscle spasms can accompany sciatica symptoms and can be treated with heat or ice therapy. A doctor may advise light exercise like short walks, and once recovery is established, they may give you exercises to strengthen your back and core.
Don’t hesitate to get in touch with our chiropractic team today to schedule an appointment if you are experiencing symptoms of sciatica. We are ready to help you feel better and get back on your feet again.
A study cited by the health magazine Prevention found that sixty percent of sciatica sufferers who failed to get relief from other treatments found their symptoms improved after chiropractic care. They got the same comfort level as those who went through surgery – without any of the severe side effects that so often come with surgical procedures.
Chiropractic effectively treats sciatica because it gets to the source of the problem – relieving pressure on the sciatic nerve.
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The information herein on "Sciatica and Nerve Related Back and Leg Pain" 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 your own healthcare decisions based on your research and partnership with a qualified healthcare professional.
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Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*
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Dr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST
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