December 11, 2023
Sciatica is one of those terms that many people are familiar with, and if you’ve ever experienced it, you know how painful it can be. You don’t have to wait for the pain to go away on its own. Often physiotherapy and massage therapy can help you manage the pain. What Is Sciatica? Although many people use the term sciatica to describe hip, buttock or low back pain, true sciatica is caused by the sciatic nerve getting irritated or injured. Your sciatic nerve is the thickest and longest bundle of nerves in your body, traveling from your spinal cord in your low back through your hip and buttock area and down your leg, branching off along the way. Pain can occur anywhere along the path of the nerve. Sciatica vs Piriformis Syndrome Although Piriformis Syndrome affects the sciatic nerve, it is not considered true sciatica. The piriformis muscle is in your buttock, attaching from your sacrum to your femur. The sciatic nerve normally passes under the muscle, but in some cases the nerve actually passes through the muscle . When the piriformis muscle becomes tight or spasms, it can compress or irritate the sciatic nerve, causing buttock and hip pain that sometimes travels down your leg. Causes of Sciatica Conditions that lead to sciatica may include: Disc herniations Degenerative Disc Disease (DDD) Osteoarthritis Pregnancy Spinal Stenosis You are at higher risk for sciatica if you have insufficient core strength, work in a job that requires a lot of bending or heavy lifting, are physically inactive, have type 2 diabetes, use tobacco, are overweight, or have a previous injury. Signs and Symptoms of Sciatica Pain: Many people describe sciatica pain as a burning sensation or like an electric shock. The pain is normally in your low back, hip, and buttock and often shoots down the leg on the affected side. Numbness/ Tingling: Because the nerve is affected, you may also experience tingling also known as “pins and needles” or numbness in your buttock or down your leg. Muscle Weakness: In severe cases you may experience muscle weakness. How Physiotherapy Can Help Treatment for sciatica depends on the cause, however physiotherapy can help reduce the pressure on the sciatic nerve in a variety of ways. In some cases of sciatica, like osteoarthritis and pregnancy , the treatment will focus on pain management. Your physiotherapist may give you home care like stretching, exercises, heat and/or ice, and postural education. If your primary care provider determines you need surgery, our physiotherapists offer rehabilitation treatments to get you back on your feet. How Massage Therapy Can Help While the treatment will depend on the underlying cause, massage therapy can help reduce muscle tension, decrease pain and decrease stress. In the case of piriformis syndrome, our massage therapists can help decrease muscle tension and spasming in the piriformis muscle. You Don’t Have To Live With Pain If you have pain or an injury that is affecting your daily life, see your primary care provider and come in for an assessment! We will make sure the treatment is customized to your needs and goals. Ready for an assessment? Contact us at (902) 865-8100