Sciatica

Sciatica

Sciatica describes the symptoms of pain (mostly) and sometimes tingling and numbness that runs from the Lumbar Spine into the buttock and down the back of the leg and sometimes foot.

What is the Cause?

The majority of sciatic symptoms come from back disorders between L4-S1 that put pressure on or cause irritation to a lumbar nerve root.

The symptoms can arise from an underlying Herniated Disc or Spinal Stenosis (which can compress the nerve root), or a degenerative disc or facet joint, which will release inflammatory proteins and irritate the nerve.

Signs & Symptoms

There can be any combination of the following:

  • Buttock, leg and/or foot symptoms
  • Burning, sharp, searing pain as opposed to achy or throbbing
  • Tingling / pins and needles
  • Weakness of leg or foot
  • Symptoms are usually only in one leg
  • Symptoms that are intermittent (can get better or worse, rather than staying constant)
  • Can be aggravated by sitting, walking, standing, twisting or bending

What Can We Do About It?

Physiotherapy will aim to identify the cause of your sciatic pain and treat with a combination of hand on therapy and specific sciatica relieving exercises

5 top tips to relieve headaches

1. Increase your water uptake

Dehydration is one of the main causes of headaches. Drink at least 2 litres of water over 2-3 hours.

2. Increase your thoracic mobility 

When your thoracic (upper back) is stiff your head sits further forward. This makes the muscles that run up to the base of the skull work harder than they should and become tight and sore. Doing thoracic mobility exercises is very helpful. See exercises below.

3. Meditate for 5 minutes 

This will help your muscles relax and increase the oxygen levels in the blood as long as you take some nice deep breaths while you are meditating.

4. Take a 20 min break from electronic devices

Over use of electronic devices such as computers, iPhones, etc for extended periods of time can aggravate your neck and strain your eyes. If you already have a headache take a 20 min break where possible. If you start to feel your eyes strain look away and focus on something in the distance for 20 seconds every 20 minutes. This will stop your eyes fatiguing.

5. Get your neck assessed by a physiotherapist 

Dysfunction in the first three cervical vertebrae can cause headaches, dizziness and nausea. These are called cervicogenic headaches. Having these vertebrae gently realigned and your thoracic spine mobilised by your physio will help immensely.

Thoracic Mobility Exercises

Bow and Arrow:

  • Lie on your side with your knees bent up
  • Place your head on a pillow or a rolled up towel
  • Bring your top arm back like you are about to shoot a bow and arrow
  • Keep your hips still
  • Repeat 10 each side

Thoracic Extension

  • Lie over either a foam roller or a rolled up towel
  • Allow your thoracic (upper back) to extend gently until you feel gentle stretch
  • Hold there for 1-3 minutes