What Is Sciatic Pain & What Causes It?

What Is Sciatic Pain & What Causes ItUp to 40% of people experience sciatica at some point in their life. The condition can affect anyone at any age except young ones. The pain caused by the sciatic nerve can be debilitating, affecting your quality of life. You may be unable to sleep or do the activities you love. You can regain control of your life within 6 to 12 weeks with proper treatment. If you have been experiencing this pain, read on to understand what causes it and how you can get pain relief.

What Is Sciatic Pain?

Sciatica is pain, numbness, irritation, and tingling sensation caused by an injury or compression of the sciatic nerve. The pain can originate from the buttock area and can be mild to severe and disabling. Sciatica pain can also be irritating and infrequent and worsens with age. Sciatica is not a disease or medical condition but a symptom of a medical problem involving the sciatic nerve.

The sciatic nerve is the longest and widest nerve in the human body. The nerves originate from the lower back through each gluteal (buttocks) and then radiate down the legs, ending below the knee.

Typically, the pain only affects one side of the lower body, extending from the thigh and back, through the thigh, and down your leg. Sometimes the pain can spread to the toes or foot. The sciatic nerve controls several muscles in the lower legs, supplying sensation to most of the lower leg and the foot’s skin.

What Are the Symptoms of Sciatica?

Common symptoms include:

  • A mild to sharp, excruciating pain or burning sensation that makes it hard to stand up
  • Burning or tingling down the leg, foot, and toes
  • Loss of bowel or bladder control
  • Feeling like a jolting pain or electric shock
  • Hip and lower back pain
  • Muscle weakness in your foot or leg
  • A constant pain on one side of the rear
  • Numbness, or difficulty moving the leg or foot
  • Pain in the leg that gets worse when sitting

What Causes Sciatic Pain?

Sciatic pain is caused by an underlying issue. Various spinal disorders cause sciatica nerve compression, including:

  • Bulging or herniated disc: Discs are the cushion pads between each vertebra. Pressure can cause the gel-like center of the disk to bulge through the weak outer wall. It can also wear out due to degenerative diseases such as arthritis.
  • Spondylolisthesis: This occurs when one of the discs slips forward over the vertebrae below it, resulting in a pinched nerve which increases the chance of sciatica.
  • Lumbar spinal stenosis: Its caused by the narrowing of the space around the spinal cord. This increases pressure, causing pain, inflammation, and numbness in the affected leg.
  • Piriformis syndrome: It’s a condition in which the piriformis muscle located in the buttock region involuntarily tightens or spasms causing sciatic pain.
  • Osteoarthritis: Bone spurs can form, leading to compression in the lower back nerves.

Other causes include:

  • Trauma that can result in spinal cord injuries
  • Orthopedic surgery of the hip
  • Pregnancy
  • Muscle spasm
  • Infections
  • Tumors

When to See a Doctor

You should seek urgent medical assistance if you have:

  • Fever and chills
  • Severe back pain
  • Redness or swelling in your back or spine
  • You have a loss of bladder or bowel control
  • If you have been in a violent injury such as a motor accident
  • Sudden severe pain in your lower back or leg and muscle weakness or weakness in your leg.

What Are the Risk Factors for Sciatica?

Obesity: Excess weight puts too much pressure on the spine and compresses the sciatic nerve causing inflammation and pain.

Diabetes: The disease increases your chance of nerve damage, significantly increasing the risk of sciatica.

Smoking: It deteriorates the discs in your spine over time which may result in nerve damage, increasing the chance of sciatica.

Poor back posture: The path of the sciatic nerve is affected by how we sit, walk or stand.

Physically demanding work or work-related injuries. Repetitive motions like lifting heavy objects, walking or standing for too long, and driving for long periods, put pressure on the spine, irritating the sciatic nerve.

Aging: As we age, the body loses flexibility putting our nerves at risk of injuries or pinching due to changes in spine alignment.

History of low back pain: Low back pain causes inflammation in the lumbar region and spine. This can spread to the sciatic nerve.

Sleeping problems: Poor sleeping habits can be caused by chronic illness or general health. It can lead to back pain which also causes sciatic pain.

Poor health: Wellness improves health. A poor diet and lack of exercise increase the chances of developing sciatic pain.

Psychological distress: Stress can cause the brain to deprive the sciatic nerve of oxygen, leading to leg pain, tingling sensation, and weakness.

Injury: An injury on the hip or buttocks can cause sciatic pain.

How is Sciatica Diagnosed?

During your diagnosis, your doctor will take your medical history and get to know your symptoms. They will also do a physical examination, like asking you to walk on toes or your heels, stand from a squatting position, lift your legs, or perform stretches and various motions.
For severe cases and further diagnosis, your doctor may order other tests such as;

  • X-ray reveals overgrown bones, bone fractures, tumors, or infections.
  • MRI to take details of your bones and soft tissues like herniated disks
  • CT scan to check on the condition of your spinal cord and the spinal nerves.
  • Electromyography (EMG) to confirm if there is nerve compression.
  • Myelogram to determine the cause of disk or vertebrae pain

What Is the Treatment for Sciatic Pain?

Sciatica treatment involves a combination of self-care measures, medication, or surgery (last resort). Treatment options include:

  • Over-the-counter medicines such as non-steroidal anti-inflammatory drugs(NSAIDs) like ibuprofen.
  • General core strengthening and aerobic exercises.
  • Gentle stretches and yoga postures to alleviate pain and increase flexibility.
  • Use products to relax the back like recliners, back supports, wedges, lumbar support, and footrest,
  • Physical therapy is recommended to prevent future injuries and improve flexibility and posture.
  • Application of ice or hot packs to relieve pain and inflammation
  • Corticosteroid injections are administered into the lower back, to help reduce pain. The injections are given under the local anesthesia.
  • Lifestyle changes such as losing weight, exercising, quitting smoking, avoiding sitting for long hours, and lifting objects carefully to avoid damaging your back. It may seem hard to make these adjustments at first, but it is essential to give you pain relief and improve your quality of life.

Alternative Treatments

Acupuncture: This involves inserting hair-thin needles into the skin at specific parts of your body. Acupuncture can help manage sciatica symptoms by relaxing tight muscles, releasing neurotransmitters that help reduce pain, improve blood circulation and regulate the nervous symptoms.

Chiropractic care: Whenever possible, it is always a good idea to opt for a more conservative, non-invasive treatment. Chiropractic care can offer you that as the purpose of chiropractic treatment is to help the body heal itself without surgery or medication. Chiropractic care will aim to realign the spine and take the pressure off the sciatic nerve for immediate pain relief. Your body will then begin to heal itself once the pressure is removed.
Treatment may also combine several methods such as cold therapies, ultrasound, TENs, physical therapy, and spinal adjustments.

  • Cold therapy– uses cold materials and substances to reduce inflammation and control pain
  • Ultrasound– produces gentle heat created by soundwaves that penetrate deep into soft tissues such as muscles. Ultrasounds increase circulation and help to reduce muscle spasms, cramping, swelling, and stiffness.
  • TENs– refers to electric nerve stimulation. Its controlled electrical current allows for pain relief and reduction in spasms.
  • Physical therapy– strengthening exercises help to relieve pressure, improve the flexibility of tight muscles, and strengthen the muscles of your back, abdomen, and legs.
  • Spinal adjustments– Chiropractic manipulation can free restricted movement in the spine and restores misaligned bodies to their proper position allowing for full range of movement and comfort. Spinal adjustments reduce nerve irritability that is responsible for inflammation, pain, and other symptoms related to sciatica.

Surgery

Surgery is recommended if your sciatic pain lasts for more than three months and does not respond to other treatments. The type of surgery depends on the cause of your sciatica pain. To remove fragments of a herniated disc compressing the nerve, you may need to undergo a microdiscectomy. Your doctor may also recommend a lumbar laminectomy to widen the spinal cord and reduce pressure on the nerves in the lower back.

If you have been suffering from sciatic seeking professional treatment for pain relief is essential. For more information please contact Anderson Integrated Health Center.

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Dr. Theresa Anderson DC, DABCI

An experienced doctor of chiropractic with a diplomate as a chiropractic internist, I offer natural solutions to chronic health conditions by implementing a strategic and individualized treatment plan for each patient. I’ve had the privilege of helping patients heal from chronic conditions to live a happier, healthier life.

Anatomy and Physiology teacher who is passionate about health and wellness and hopes to ignite that same respect and awe of the human body into her pupils.

I’m dedicated, loyal and always seeking to improve my science and craft, learn new discoveries in my field, and embrace new challenges.

  • 2023 Diplomate American Board Chiropractic Internist (DABCI)

  • 2018 Certified Medical Examiner (CME)

  • 2000 Doctor of Chiropractic (DC)

  • 1996 Bachelor of Liberal Arts, Elementary Education K-8
  • Adjunct Faculty: Anatomy & Physiology I lecture and lab (2023 – Present)
    Chattahoochee Technical College, North Metro Campus, Acworth, Ga

  • Teacher: Anatomy & Physiology On-level and Honors, High School Seniors (2017 – Present)
    Science Department Head (2023)
    Cornerstone Preparatory Academy, Acworth, Ga 30101

I enjoy any outdoor sports and activities such as hiking and
gardening.

I’m also an animal lover who has a heart for stray animals.

Beginner with Norwegian language

Dr. Micheal Anderson DC, DABCI

Dr. Anderson is a licensed Doctor of Chiropractic, practicing in Dallas, GA. He has received extensive post-doctorate training in Specific Upper Cervical adjusting procedures and is certified through Knee Chest Upper Cervical Specific (K.C.U.C.S.).

After 10 years of competing in the sport of powerlifting at the state and national level, reaching Collegiate first team All-American status, and competing on the US National Team at the World Championships in the Czech Republic in 1997, I suffered severe back pain and was only 24 years old. I was told I had disc problems and would need to stop competing. I found a chiropractor in Baltimore, Maryland and began care with fantastic results. As my body healed, I continued my PL career, and decided I wanted to help others receive health naturally through chiropractic care.

I was able to continue my PL career, but still had occasional pain, as well as digestive issues, stomach pain, and skin problems. While in school, I came across an amazing chiropractic procedure called Upper Cervical Specific Chiropractic. After experiencing this type of care, my health went to the next level, and my symptoms completely resolved over the next 3 years. By now I was 30 years old, extremely healthy, and looking to share my Upper Cervical chiropractic health knowledge with all.

Dr. Anderson did his undergraduate studies at Towson State University in Baltimore Maryland and graduated with a degree in Marketing and Sports Management. Then he graduated in 1995 from Logan College of Chiropractic in Chesterfield, Missouri. Dr. Anderson continued his education with postgraduate work in upper cervical care getting certified from Michael Kale in 1996. He earned master certification in KCUCS Upper Cervical procedure in 2001. Since then, he has been teaching doctors around the world KCUCS Upper Cervical procedure. Dr. Anderson also has DABCI functional health training and certification.

  • Clinical Vision Research: Kessinger Clinic, 1996.

  • Clinical Respiration Research: Kessinger Clinic, 1996

  • Incidence of Symptomatic Reactions to Upper Cervical Chiropractic Care and their Effects on Satisfaction and Clinical Outcomes: Participating Field Doctor March 2008

  • Improvement in Pattern Analysis, Heart Rate Variability & Symptoms Following Upper Cervical Chiropractic Care 2013

  • Pulse pressure findings following upper cervical care: a practice-based observational study 2019

The goal of Anderson Integrated Health Center’s upper cervical specific chiropractic care is to remove interference to the nervous system by making a correction that allows the body to heal itself. The procedure utilized by Anderson Integrated Health Center works with the body’s innate capacity to heal itself when the nervous system is free from interference. This procedure is gentle and effective for infants to the elderly. Computerized diagnostic instrumentation is utilized to determine if a person can be helped with this procedure. Helping patients who have suffered for years with no relief is very rewarding. But probably what Dr. Anderson enjoys the most is seeing young children recover from health problems that prevents them from having to suffer for a lifetime.

Dr. Anderson resides in metro Atlanta with his wife Theresa and two children, Jeremiah and Hope. He enjoys family time, his children’s sports, coaching his son’s basketball team, racquetball, and staying active in a challenging race like the Tough Mudder. Dr. Mike met his wife at chiropractic school in Chesterfield, Missouri and Dr. Theresa went on to become an upper cervical doctor herself. She paused her career to be a full-time home-school mother, and has returned to practice alongside her husband. Dr. Mike Anderson also has strong faith in his Lord and Savior, Jesus Christ, and enjoys being a long-time member at Westridge Church in Dallas, Georgia.

In addition to staying physically active, Dr. Anderson understands the importance of excellent nutrition to achieve great health. He and his family have achieved a healthy lifestyle without the use of pharmaceuticals, including vaccines, and he has been drug-free since 1993. He thanks God for the health his family enjoys, knowing that God gave us natural ways to live a healthy life!