Effective Treatment for Sciatica
Sciatica can be exhausting, severely limiting your daily life and making even simple movements painful. At Gloucester Chiropractors, we specialise in finding the root cause of your sciatic pain and providing fast, effective relief. Chiropractic treatment for sciatica is straightforward and brings excellent results
In this page, written by Dr David Cooper (Chiropractor and Clinical Lead), we explore the causes and symptoms of sciatica, as well as how to get relief from sciatica and prevent its recurrence.
At Gloucester Chiropractors, we have a particular expertise in treating sciatica. We are an award winning clinic with a team of UK qualified chiropractors, each dedicated to helping you get better and stay that way.
Sciatica Symptoms
Sciatica is rarely serious (although it can be incredibly painful) and usually responds very well to chiropractic treatment.
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Sharp pain shooting down the back of the leg
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Numbness or pins and needles in the foot
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Weakness in the leg or altered sensations
- With/without back pain
The sciatic nerve is made up of several nerve-roots that leave your lower back and join together in your pelvis.
After these nerve roots join together, the sciatic nerve passes out of your pelvis and down the back of your thigh, before splitting into small nerves in your lower leg.
Irritation or injury to any of this nerve tissue from your spine down can cause sciatica.
What Causes Sciatica?
Establishing the root cause of sciatica is the most important first step to getting relief. From there, treatment is usually very straightforward.
The most common cause of sciatica is a bulging disc in your lower back. The disc pushes on one of the nerve roots exiting your spine, irritating it and causing the symptoms associated with sciatica.
Other causes of sciatica include pregnancy, tight muscles pinching the sciatic nerve or a direct blow to the nerve.
Very uncommon causes of sciatica include spondylolisthesis, tumours and infections.
It is unusual for the sciatic nerve to be injured, unless a severe trauma is involved or the problem has been going on for a long time. Nearly always, sciatica is a result of irritation of the sciatic nerve rather than damage.
Some conditions can mimic sciatica, such as sacroiliac joint irritation, hip arthritis, bursitis, hamstring injuries and knots in your buttock muscles. These conditions account for a surprisingly high number of “sciatica” cases, underlining the importance of a detailed assessment process.
Our chiropractors are experts at diagnosing and treating sciatica.
Self Help For Sciatica
Because the majority of sciatica problems are the result of irritation rather than damage, it is useful to try to maintain normal activity levels and do all of the things you would normally do. This helps to prevent deconditioning and anxiety associated with returning to activity after a break.
Common sense must apply though. Pushing through the pain barrier can increase irritation of the sciatic nerve, causing symptoms to persist for longer.
There is an inflammatory component to most cases of sciatica. This is often responsible for a significant proportion of your pain and causes the sciatic nerve to become more sensitive.
Over the counter (ie. not prescribed) anti-inflammatories are helpful at reducing the effects of inflammation and easing symptoms. If you have stomach problems, heart problems or are on other medication, discuss this with your pharmacist before taking anti-inflammatories.
Ice packs offer another means of reducing inflammation, with no associated risks. In most cases they should be applied to your lower back and kept in place for 20 minutes. Direct contact with your skin should be avoided.
Topical gels and rubs have little proven efficacy, but can be worth a try.
When To See A Chiropractor
While most episodes of sciatica will spontaneously resolve given enough time, it is always a good idea to get checked over by a professional. Treatment will also mean a faster resolution of symptoms as well as prevention of future issues.
Chiropractors are the foremost healthcare professionals when it comes to diagnosing and treating sciatica.
A consultation will establish the cause of your pain, making it easier to treat and take preventative steps.
Treatment, in the form of manual therapy, advice, exercises and education, is also very effective at relieving symptoms of sciatica and reducing the likelihood of recurrence.
The sooner you see a chiropractor after the onset of sciatica, the faster you are likely to get relief.
An advantage of seeking chiropractic care is that diagnostics and a range of treatment methods can be provided under one roof. At Gloucester Chiropractors, treatment is usually carried out on your first visit.
When Not To See A Chiropractor
There are some times when patients with sciatica should not see a chiropractor. These are called Red Flags. If you have any of the following your GP is more likely to be able to help:
- Significant, unintended weight loss
- Bowel or bladder changes, eg. faecal incontinence
- Recent significant trauma
How is Sciatica Diagnosed?
Since there are numerous causes of sciatica, the condition is best diagnosed by thorough physical and neurological examination.
This process involves testing the sensitivity of the skin and the strength of muscles supplied by the sciatic nerve, as well as special neurological tests.
The function of muscles and joints is also checked to pinpoint why the sciatic nerve has become irritated, and other causes of leg pain are eliminated.
MRI scans and x-rays are rarely required and can even be counterproductive. Just because a bulging disc is discovered on a scan, it does not mean that this is the cause of your symptoms. Without physical examination this can lead to misdiagnosis and inappropriate treatment.
Current guidelines advise against MRI scans and x-rays for sciatica.
Treatment Options For Sciatica
In addition to self-management methods, there are a number of different treatment options for sciatica.
These treatment options can be broadly categorised as conservative and invasive. Conservative options centre on manual therapy and exercise, whilst invasive methods include injections and surgery.
Conservative Options For Sciatica
Because sciatica is rarely a serious problem (despite being very painful), conservative options should be exhausted before considering invasive treatments, which carry higher risks.
Chiropractic treatment has been shown to be highly effective at relieving pain from sciatica, especially in conjunction with exercise and education.
Chiropractic treatment may include manipulation (small movements of your spine that often come with clicks or pops), mobilisation (slow movements of the joints of your spine or pelvis), acupuncture and stretching.
Where muscular tension is a significant factor in your pain, we also have in-house massage therapists who work with our chiropractors to provide Clinical Massage Therapy for Sciatica.
Invasive Options
Various types of injection are available for sciatica. These injections use a mix of anaesthetic and corticosteroid (a potent anti-inflammatory). There is a limit to the number that can be administered.
Surgery is now very rarely offered for sciatica and carries a very narrow risk-reward ratio. Of surgeries that can be offered, microdiscectomy is the most common.
Chiropractic treatment is safe and effective for sciatica and patients seeing a chiropractor are far less likely to ever need surgery or spinal injections (1).
Preventing Sciatica
At Gloucester Chiropractors, our focus is on helping you live a pain-free life, full of vitality. This means we want to go beyond just providing relief when you are in pain. We want to help you build the resilience and capacity that allows you to do what ever you want to do, free from pain or fear.
If you have had sciatica before, you are at greater risk of having sciatica again. This is true even if you follow all the best advice. But the risk of sciatica recurring can be massively reduced.
Proper rehabilitation, involving strengthening of the muscles around your spine, is the best strategy for preventing sciatica returning. Different people need to strengthen different muscles, so advice is helpful to make your rehabilitation as efficient as possible.
Strengthening, or core stability, is also a good way of minimising your risk of sciatica if you have never had an episode. Our chiropractors can provide guidance and prescribed exercises, but we also work with local personal trainers and Pilates instructors in Gloucester.
Increasing your level of general activity has also been shown to be very helpful at reducing your risk of sciatica and lower back pain. Walking more and sitting less is incredibly powerful.
Chiropractic Treatment has been shown to be helpful in reducing the recurrence of sciatica and lower back pain, helping maintain your body’s proper function.
Don’t let sciatica control your life. Book your expert assessment today and take the first step toward living pain-free.
