Back to the leg, “sciatica” is usually to blame: If the sciatic nerve is pinched, injured or inflamed, typical pain occurs. Medically correct, the phenomenon is called “sciatica“
When it hurts from the back to the leg, “sciatica” is usually to blame: If the sciatic nerve is pinched, injured or inflamed, typical pain occurs. Medically correct, the phenomenon is called “sciatica”. Read more here about the causes, symptoms and treatment of sciatica and learn what’s the best way to prevent symptoms.
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What helps with sciatica pain?
The femoral muscle (musculus piriformis), lying directly under the large gluteal muscle, is often tense. «Approximately in 20 percent of people the sciatic nerve passes directly through this muscle», — explains physiotherapist Dr Smriti Agarwal. The victims should try to disperse it with the help of special wounds. He relieves the load from the sciatic nerve, says the former deputy chairman of the USA association of physiotherapists..
Meyer notes that it would be wrong to lie in bed for a long time to cure the symptoms. A moderate pace is very useful in order to relax the muscles again.
When is it sciatica?
If the pain is accompanied by numbness of the leg, inner surface of the thigh or cheek, should immediately consult a doctor. This also applies to paralysis of the muscles of the legs or sudden urinary incontinence.
«This would be an absolutely extraordinary situation, as the cause could be herniated intervertebral disc», — warns expert Andrea Moerer. A visit to the doctor is also recommended if the patient with pain has recently had a stroke, is taking cortisone drugs or suffers from osteoporosis.
Is an operation necessary?
Even if it is herniated intervertebral disc, surgical intervention is not absolutely necessary. Dr. Smriti Agarwal explains that if the prolapsed tissue recedes into the intervertebral disc space over time, the problem may disappear on its own.
Physiotherapists can support this process with the help of certain methods. According to Pribusha, treatment is always adapted to the latest test results and discussed with the treating doctor.
On the other hand, numbness or incontinence of urine in the pubic region requires immediate surgery. Otherwise, there is a risk of irreversible damage to the sciatic nerve.
What medicines help?
In the acute phase, patients can take analgesics, such as nonsteroidal anti-inflammatory drugs (NSAIDs), for one to two days. If symptoms are very severe, doctors may prescribe higher doses of opiates.
«However, if they are used, the diagnosis should also be made with the help of magnetic-resonance tomography (MRT) and X-ray», – advises Meier. In this way the doctor can assess the changes of the intervertebral discs and the position of the vertebrae.
What gives physiotherapy?
If symptoms of eczema occur frequently, the physiotherapist may use manual techniques to relieve tension and limited mobility. It also shows effective exercises that strengthen the muscles of the back and abdomen. Well-trained muscles act like a brace that supports and stabilizes the spine.
According to Pribusha, a person’s working position is also important: «If someone sits for a long period of time, breathing is extremely important. You must adapt the working place to the body, and not overturn, to prevent this».
Sciatica Pain Relief Exercise
Flexion stretch – from chin to chest. Gently tilt your head forward, bringing your chin toward your chest until you feel a stretch in the back of your neck.
Lateral flexion stretch – from ear to shoulder. Tilt the neck to one side as if touching the ear to the shoulder until a stretch is felt in the side of the neck. Keep your shoulders down and your back in a comfortable but healthy posture.
Retraction of the levator scapulae. Place one hand against a wall or door jamb, elbow slightly above shoulder, then turn your head in the opposite direction. Bring the chin towards the collarbone to feel the stretch in the back of the neck. It may be helpful to gently pull the head forward with the other hand to maintain the stretch for the desired duration.
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