Sciatica

What causes Sciatic pain?

Sciatica is triggered by the sciatic nerve, one of the longest in the body, that originates in the lower back and runs all the way to the back of the knee.

Pressure on the Sciatic nerve can result from a number of reasons including:

  • piriformis syndrome (tightness of the piriformis muscle in the buttock that compresses the sciatic nerve)
  • spinal misalignments, vertebral dysfunction
  • herniated disc, disc prolapse
  • osteoarthritis
  • poor posture – wearing high heels, prolonged sitting, poor mattress
  • poor lifting technique and poor bending habits
  • spinal compression due to osteoporosis
sciatica Russell Lea
Russell Lea sciatica

Diagnosis

Sciatica can be caused by a variety of factors. Before treatment is started, it’s important that your physiotherapist determines the exact cause.

Physiotherapy treatment always begins with a thorough history, spinal, orthopaedic and neurological examination. Special diagnostic imaging investigations such as X-ray, CT and MRI scans may also be required to accurately diagnose your sciatica.

Treatment

As sciatica is due to pressure on the sciatic nerve, it stands to reason that treatment involves removing this pressure. Your physiotherapy treatment aims to achieve this by reducing nerve pressure caused by poorly moving spinal joints as well as easing muscular tension in the lower spine, buttock and leg.

This is achieved by using a combination of the following techniques:

  • Spinal mobilisations
  • Massage therapy and trigger point therapy
  • Stretching tight muscles, joints, tendons and ligaments
  • Ultrasound and other electrical stimulation devices
  • Advice in relation to how to minimise pressure and irritation of the sciatic nerve

In addition to this, you will be given a series of home stretching exercises and asked to apply ice and heat to help aid your recovery.

If you are suffering with sciatica at the moment please do not delay – you can achieve the best results when you address the symptoms early. Please contact us to begin your care today!

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sciatica treatment Russell Lea

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