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Writer's pictureFung Dak

Sciatica

Updated: Sep 27


Pathology

The sciatic nerve is the main nerve of the lower limbs. It originates from the fourth and fifth lumbar nerve roots (L4, L5) and the first, second, and third sacral nerve roots (S1, S2, S3). It runs along the lower back, waist, buttocks and thighs, calf to foot. Sciatica is a very common symptom and can be caused by any pressure on the sciatic nerve, which can be in the lower back, waist, buttocks, etc. Sciatica mainly refers to pain in the lower limbs. Intervertebral disc herniation is the most common cause, because long-term wear and tear of the lumbar spine may cause the lumbar disc to herniate backward. In addition, the sciatic nerve may also be compressed in the lower limbs. For example, the piriformis muscle may also compress the sciatic nerve, causing pain in the buttocks and extending to the calves and feet.


Causes

  • Herniated disc

  • Aging

  • Frequently carry heavy objects

  • Have had a strain or previous problem in your waist

  • Pregnancy or obesity

  • Piriformis syndrome

  • Sitting on hard surfaces for long periods

  • Sacroiliac joint dislocation

  • Injury or overuse

  • Other pathologies causing sciatica: Spinal stenosis, spinal dislocation, lumbar bone spur hyperplasia, and narrowing of the intervertebral foramen


Symptoms

  • The pain will radiate along the nerve lines to the lower limbs

  • Pain usually occurs on the back or side of the thigh (Mild)

  • Extends to the calves or soles of the feet (More severe)

  • Nervous function may be affected (Strength, sensation)


Treatments

  1. Interferential Current Therapy: Anti-inflammatory, analgesic, and relieve muscle swelling

  2. Focused Shockwave: Precisely relax deep hip muscles/ piriformis muscle

  3. Acupuncture: Eliminates tension in deep small muscles such as multifidus and rotator muscles, and resolves lumbar dislocation

  4. Chiropractic Adjustment: Open the intervertebral foramen and relieve nerve compressions

  5. Traction Therapy: Reduce intervertebral disc pressure and accelerate intervertebral disc recovery


Consequences of not treating early

  • Impaired neurological function

  • Numbness and loss of feeling in the affected muscles

  • Affects toe movement

  • In severe cases, unable to walk


 

The above content is for reference only. Readers are required to seek medical advice from relevant medical personnel. Only after detailed examination and diagnosis can timely and effective treatment be provided.

@DOCTORFIX CHIROPRACTIC AND PHYSIOTHERAPY CLINIC

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