When You Search the Internet for Lower Back Pain, Sciatica Is What You Find!

Sciatica is a common cause of lower back pain, but not nearly as prevalent as it everyone self-diagnoses!

Due to the high prevelance of sedentary lifestyles in the US, low back pain is easily the most common condition we treat here at Rider Chiropractic Sports and Injury. 

  • The sciatic nerve is a group of nerve roots that starts in the low back and goes clear down to the foot. 
  • It is easily the largest nerve (diameter) in the body. 
  • 1/5 people are prone to sciatic nerve pain due to their anatomy. 
    • This nerve typically passes under the piriformis, but for one in five people it actually passes through the muscle.
  • This pain is usually only on one side/leg.
  • The progression of pain usually starts in the low back/buttock region and travels/radiates down the back of the leg, calf, and bottom of foot. 

Treatment

Diagnose with consideration of ergonomics, occupation, and lifestyle.

  • Decrease external hip rotator tension by strengthening the internal hip rotators.
    • Release added pressure put on the nerve from a tight piriformis.
  • A Flexion Distraction table is used to decrease pressure of the lumbar discs that could be pushing on the sciatic nerve roots. 
    • This is the best chiropractic treatment for broad spectrum low back pain, especially if there is disc involvment. 
  • Decrease hamstring tension through exercises to restore pelvic and abdominal control.

Pro Tip: Ditch the back pocket wallet when sitting! It causes that much more pressure on the nerve.

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Common Sciatic Triggers.

Usually a gradual onset.

Pain often comes on with walking due to the nerve lengthening with each step. 

Patients often feel the need to bend forwards and "stretch their hamstrings."

Crossing one leg over the other and stretching the hips provides temporary relief. 

"Come see me so I can speed up your recovery and keep you feeling great!"

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