One of the most common problems we effectively treat at ACC is sciatica. Sciatica is pain that usually originates in the low back or buttock that travels into one or both legs. It follows the Sciatic nerve.
Sciatica is caused by nerve compression. Nerve compression can be the result of disk syndrome, degenerative joint disease of the spine, or muscle inflammation.
The pain is described as dull, achy, sharp, toothache-like, pins and needles or similar to electric shocks, burning, numbness and tingling sensations. Sciatica is also called radiating or referred pain, neuropathy, or neuralgia. Sciatica is not a disorder. It is a symptom of a disorder, several of which cause this kind of pain.
Sciatica is generally caused by sciatic nerve compression. Disorders known to cause sciatic nerve pain include lumbar spine subluxations (misaligned vertebral body/ies), herniated or bulging discs (slipped discs), pregnancy and childbirth, tumors, and non-spinal disorders such as diabetes, constipation, or sitting on one’s back pocket wallet.
One common cause of sciatica is Piriformis syndrome. Piriformis syndrome is named after the piriformis muscle. The piriformis muscle is located in the lower part of the spine, connects to the thighbone, and assists in hip rotation. The sciatic nerve runs beneath the piriformis muscle. This muscle is susceptible to injury from a slip and fall, hip arthritis, or a difference in leg length. Such situations can cause cramping and spasm to develop in the piriformis muscle.
Proper Diagnosis of Sciatica Is Essential
Since there are many disorders that cause sciatica, the chiropractor’s first step is to determine what is causing the patient’s sciatica. Forming a diagnosis involves a thoughtful review the patient’s medical history, and a physical and neurological examination. Diagnostic testing includes an x-ray, MRI.
ACC Treatment of Sciatic Symptoms
Because Sciatica can have several different causes, the correct treatment might be different for different patients. At ACC we treat most sciatic patients with a combination of chiropractic, DTS, Class 4 Laser, and physiotherapy.
With proper diagnosis and treatment, the long term cure rate for Sciatica is very high.