As a chiropractor I understand that intense pain of sciatica. Here are some self-treatment techniques that might help.
Sciatica exercises and other self-treatment techniques are often just as effective, and maybe more effective in some cases, than professional methods of treatment. This is particularly true when it comes to getting lasting relief, because most doctor-administered treatments only mask symptoms and do not address the underlying causes of sciatica, namely spinal disc protrusion and/or muscle contraction.
The symptoms of sciatica are pain, tingling, burning, and other sensations that extend from the buttock area down the back of the thigh, and sometimes all the way down the calf to the foot. True sciatica is related to compression and irritation of the sciatic nerve, most often by a bulging or ruptured spinal disc in the lower back.
Another condition that closely mimics the symptoms of true sciatica is piriformis syndrome, caused by the piriformis muscle in the lower buttock area. Piriformis syndrome is also sometimes called “pseudo-sciatica”, meaning “false sciatica”. Depending on the situation contraction of the piriformis muscle may actually compress the sciatic nerve, or the muscle produces what’s known as referred pain. Referred pain is what happens when someone gets arm pain from a heart problem, or shoulder pain from a gallbladder attack.
True sciatica and piriformis syndrome can both be relieved with exercises and other self-treatment measures in the vast majority of cases. One simple set of techniques is the McKenizie exercises, originally developed by physical therapist Robin McKenizie. McKenzie method uses a simple evaluation system to determine the best “exercise” – really just a position, to best help a given individual. While sometimes called “McKenzie Extension” exercises, because most disc-related pain responds best to spinal extension, not all McKenizie exercises involve extension. The initial testing process determines the specific position/exercise that is best for a given individual.
Piriformis syndrome can be treated with stretching and massaging of the piriformis muscle. To stretch the piriformis, bend the knee and slowly but firmly pull the knee to the chest, then pull it towards the opposite shoulder (for example, if you are stretching the right piriformis, pull the right knee toward the left shoulder). When stretching, be sure to apply steady pressure, as opposed to frequently pulling and releasing, or “bouncing” the stretch. To massage the piriformis, make a fist and press firmly into the muscles in the lower buttock area. When you find a tight, tender spot, hold pressure on it and gradually apply more pressure as it releases.
While there are other sciatica self treatment methods besides exercises,one of the most effective home remedies for disc related sciatica is the use of ice packs to reduce inflammation. While anti-inflammatory medication does help in many cases, ice can be far more effective and does not cause the side-effects that are common with the drugs. It is best to separate an ice pack from the skin with a thin layer of cloth, or a thin towel, in order to prevent frost bite of the skin. For best effect in treating disc-related sciatica, the cold packs should be placed on the lower back so that the pack extends at least one inch below the waistline. To get maximum effects, apply the ice pack for about 15 to 20 minutes at a time, then remove the pack and allow the skin to return to normal temperature before applying ice again. When in doubt, allow about 2 hours between applications of ice packs.
For additional sciatica information, please visit my SciaticaSelfCare.com website. When you visit, you’ll receive a free ebook on home treatment tips, and a free video course to help you etter understand your condition and treatment options.